The Total Artificial Heart
TAH name Timeline No. of implants Duration Liotta 1969 1 64 h Akutsu 1981 1 55 h Jarvik-7100 1982–1992 44 6 years Phoenix 1985 1 11 h Penn State 1985–1989…
Ventricular Assist Device Support for Hypoplastic Left Heart Syndrome, Fontan Failure, and End-Stage Systemic Right Ventricular Dysfunction
Fig. 38.1 Schematic view of UVAD placement in single ventricle anatomy after first-stage palliation (Norwood with modified BT shunt) of HLHS. The inflow cannula is inserted in the apex of…
ReliantHeart: Forward Compatibility and TET
The inlet cannula is also made of titanium and is inserted into the left ventricular apex. As mentioned previously, HA5 has optimized the design of the DeBakey-Noon LVAD especially in…
Infectious Complications
VAD-specific infections Pump and/or cannula infections Pocket infections Percutaneous driveline infections Superficial infection Deep infection VAD-related infections Infective endocarditis Bloodstream infections (including CVC-associated BSIs) CVC present Bloodstream infection presumed VAD-related…
Concomitant Cardiac Surgery During VAD Placement: When Is It Too Much?
Fig. 33.1 Transplant/population ratio Fig. 33.2 The new time metric (Note: W. Dembitsky 2016) Five- and 10-year survivals are becoming more common, with over 1000 patients surviving over 5 years…
Invited Lecture “Pioneering the Future: From Transplant to Device Development”
Fig. 1.1 Dr. Domingo Liotta (left) and his TAH (right) My own involvement with MCS systems dates from 1965, when I was a medical student at Baylor. All medical students…
Continuous-Flow Pumps in Infants, Jarvik Infant System, and Destination Therapy in Pediatrics
Fig. 39.1 Projected characteristics of infant and child size pumps based on the adult Jarvik 2000 There were also a number of practical manufacturing considerations including the high precision required…
Low INTERMACS Profiles: Temporary Midterm Paracorporeal VAD Support
A. Patients whose ventricular function is deemed unrecoverable or unlikely to recover without long-term device support B. Patients who are deemed too ill to maintain normal hemodynamics and vital organ…
Biventricular Circulatory Support with Two Implantable Continuous-Flow Pumps
Fig. 31.1 Algorithm for decision between left ventricular and biventricular support in patients with terminal heart failure at our institution [8]. S/L axis indicates ratio of short-axis diameter to long-axis…
Percutaneous Devices: Options
(1) Department of Cardiac Transplant, Baylor University Medical Center at Dallas, 3410 Worth Street, Suite 545, Dallas, TX 75246, USA KeywordsPercutaneous ventricular assist device (pVAD)Intra-aortic balloon pumpImpellaTandemECMOShockTemporary support 29.1 Introduction…
