Triage VADs: TandemHeart, Impella, and CentriMag
Fig. 8.1 An algorithm depicting the potential courses of care for patients with severe cardiogenic shock The etiology of heart failure plays a major role in determining the ultimate course…
Newer-Generation Rotary Blood Pumps
Fig. 12.1 The paracorporeal pulsatile left ventricular assist device used by Dr. Michael E. DeBakey in the 1960s (image property of Texas Heart Institute) Throughout the 1960s and 1970s, several…
Cardiac Resynchronization in Advanced Heart Failure: Biventricular Pacing
Fig. 7.1 Relation between dyssynchrony and cardiac output Typically a widened QRS on the EKG has been considered a surrogate for LV dyssynchrony. Hawkins and their group noted increasing prevalence…
Ventricular Assist Devices for Destination Therapy
Fig. 11.1 The HeartMate XVE (Thoratec Inc., Pleasanton, CA) first-generation pulsatile LVAD and HeartMate II axial flow LVAD. (Courtesy of Thoratec Corp., used with permission.) Several LVADs with third-generation design…
Principles of Heart Failure
Fig. 1.1 Myocardial infarction culminating in heart failure; the direct consequences of myocardial infarction and the subsequent local and peripheral responses designed to protect the body from the effects of…
Ventricular Remodeling for Ischemic Cardiomyopathy and Ventricular Asynergy Post Myocardial Infarction
Indications •Anteroseptal myocardial infarction •Congestive heart failure •Depressed ejection fraction % •Large area of akinesis/dyskinesis –Asynergy of >30 % of LV surface •Enlarged ventricle –End-diastolic volume index >120 cc/m2 –End-systolic…
Algorithm for Treatment of Advanced Heart Failure
Fig. 2.1 Heart failure staging system (Adapted from Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG, et al. ACC/AHA 2005 Guideline Update for the Diagnosis and…
Right Ventricular Dysfunction in Patients Undergoing Left Ventricular Assist Device Implantation: Predictors, Management, and Device Utilization
6. Frazier OH, Rose EA, Oz MC, Dembitsky W, McCarthy P, Radovancevic B, et al. Multicenter clinical evaluation of the HeartMate vented electric left ventricular assist system in patients awaiting…
Mitral Valve Repair for Ischemic Mitral Regurgitation with Advanced Cardiomyopathy
Baseline 1 year 1.5 years 2 years MR grade 2.54 ± 0.81 (N = 70) 0.52 ± 0.66* (N = 46) 0.35 ± 0.63* (N = 33) 0.48 ±…
Surgical Coronary Artery Revascularization in Patients with Advanced Ischemic Cardiomyopathy
3. Velazquez E, Lee K, Deja M, Jain A, Sopko G, Marchenko A, et al. Coronary-artery bypass surgery in patients with left ventricular dysfunction. N Engl J Med. 2011;364:1607–16.PubMedCrossRef 4….
