Outcomes Using LVADs for Destination Therapy
Fig. 15.1 Taken from the REMATCH trial , this Kaplan-Meier analysis depicts a reduction of 48% in the risk of death from any cause (primary endpoint) in the group that…
Right Ventricular Failure in Patients Undergoing LVAD Placement
Preoperative measures Risk stratification Low Moderate High Limit fluids Pulmonary vasodilators Cardiac inotropes Consider elective RVAD Operative measures Preventive High-risk patient/early RVF Fulminant RVF Limit transfusion Expeditious operative time TEE…
Diagnosis of Device Thrombosis
Fig. 12.1 CT angiogram with 3D reconstruction of left ventricular assist device. (a) Following contrast administration, filling defect can be seen along the distal portion of outflow graft. (b) Complete…
Cardiac Regenerative Strategies for Advanced Heart Failure
Fig. 16.1 Multimodal strategy for cardiac regeneration. Printed with permission from Baylor College of Medicine Cardiac cellular reprogramming describes the process by which cardio-differentiating (transcription) factors or the genes encoding…
Mechanical Circulatory Support to Bridge to a Long-Term Continuous-Flow Left Ventricular Assist Device as a Bridge to Heart Transplantation
Fig. 14.1 (a) Survival curves for patients who had normal albumin levels (≥3.5 g/dL), moderate hypoalbuminemia (2.5–3.5 g/dL), and severe hypoalbuminemia (<2.5 g/dL) before undergoing implantation of a continuous-flow left ventricular assist device….
Device Exchange: THI Technique Involving a Left Subcostal Approach
Fig. 13.1 (a) The pump is exposed through an extended left subcostal incision . A self-retaining retractor is invaluable in visualizing the white silicone rubber bellows that surrounds the pump…
Who Is an Appropriate Candidate for Long-Term MCS?: The Art of Patient Selection
1. Severe symptoms of HF with dyspnea and/or fatigue at rest or with minimal exertion (NYHA functional class III or IV) 2. Episodes of fluid retention (pulmonary and/or systemic congestion,…
LVAD Surgical Implant Technique: Infradiaphragmatic Approach
Fig. 6.1 The left ventricular (LV) apex is reflected in a cephalad direction to expose the diaphragmatic surface of the heart. The LV cavity is outlined by the dotted line,…
