Mechanical Circulatory Support in End-Stage Heart Failure: A Practical Manual

Front Matter....Pages I-XXIII
Invited Lecture “Pioneering the Future: From Transplant to Device Development”....Pages 1-9
Front Matter....Pages 11-12
Physiopathology and Fate of End-Stage CHF in the Era of MCS....Pages 13-23
Cardiomyopathies and Clinical Features....Pages 25-35
MCS Candidate Selection Criteria....Pages 37-58
Preoperative Assessment and Clinical Optimization....Pages 59-74
Preoperative Evaluation of Right Ventricular Function....Pages 75-91
High INTERMACS Profiles: Medical Versus MCS Treatment....Pages 93-102
Low INTERMACS Profiles: Temporary ECMO or TAH Support....Pages 103-106
Low INTERMACS Profiles: Temporary Midterm Paracorporeal VAD Support....Pages 107-113
Low INTERMACS Profiles: One-Stage Durable LVAD Implantation for INTERMACS Level 1: Indications and Contraindications....Pages 115-119
Bridge to Transplant and Destination Therapy Strategies in the United States....Pages 121-129
Mechanical Circulatory Support as Bridge to Recovery....Pages 131-147
Mechanical Circulatory Support as Bridge to Candidacy....Pages 149-158
Front Matter....Pages 159-161
Engineering and Clinical Considerations in Rotary Blood Pumps....Pages 163-173
Engineering and Clinical Considerations in Pulsatile Blood Pump....Pages 175-181
Intraoperative Anesthesiological Monitoring and Management....Pages 183-191
Transesophageal Echocardiography During LVAD Implantation....Pages 193-199
Intraoperative Anticoagulation and Coagulation Management....Pages 201-209
Intraoperative Right Ventricular Failure Management....Pages 211-220
Tricuspid Valve Regurgitation and Right Ventricular Dysfunction During Left Ventricular Assist Device Implantation....Pages 221-226
Front Matter....Pages 159-161
Role of Inotropes, Pulmonary Vasodilators, and Other Pharmacologic Interventions for Right Ventricular Dysfunction....Pages 227-233
Temporary RVAD....Pages 235-240
Which Approach? Traditional Versus MICS....Pages 241-251
Minimal Invasive: Padua’s Approach and Technique....Pages 253-264
To Pump or Not to Pump: The Role of CPB or ECMO....Pages 265-269
Techniques for Inflow Cannula Placement....Pages 271-276
Techniques for Outflow Cannula Placement....Pages 277-280
Techniques for Driveline Positioning....Pages 281-286
Percutaneous Devices: Options....Pages 287-298
Paracorporeal Biventricular Assist Devices: The EXCOR® VAD System....Pages 299-304
Biventricular Circulatory Support with Two Implantable Continuous-Flow Pumps....Pages 305-311
The Total Artificial Heart....Pages 313-336
Concomitant Cardiac Surgery During VAD Placement: When Is It Too Much?....Pages 337-348
Pump Removal After Myocardial Recovery During Left Ventricular Assist Device Support....Pages 349-352
Front Matter....Pages 353-353
Mechanical Circulatory Support in Pediatric Population: Clinical Considerations, Indications, Strategies, and Postoperative Management....Pages 355-359
Continuous-Flow Pumps in Pediatric Population....Pages 361-369
The Berlin Heart EXCOR Experience in the USA....Pages 371-380
Ventricular Assist Device Support for Hypoplastic Left Heart Syndrome, Fontan Failure, and End-Stage Systemic Right Ventricular Dysfunction....Pages 381-390
Continuous-Flow Pumps in Infants, Jarvik Infant System, and Destination Therapy in Pediatrics....Pages 391-399
Front Matter....Pages 401-401
Physiotherapy and Rehabilitation Management in Adult LVAD Patients....Pages 403-420
Front Matter....Pages 401-401
Physiotherapy and Rehabilitation Programs for Pediatric VAD Patients....Pages 421-425
Patient- and Device-Tailored Antithrombotic Treatment....Pages 427-431
Coagulation Monitoring....Pages 433-443
Outpatient Management: The Role of the VAD Coordinator and Remote Monitoring....Pages 445-465
Psychosocial Considerations of Mechanical Circulatory Support: Decision Making, Behavioral Evaluation, Quality of Life, Caregivers, and End of Life....Pages 467-476
Front Matter....Pages 477-477
Ischemic and Hemorrhagic Stroke....Pages 479-487
Gastrointestinal Bleeding....Pages 489-494
Pump Thrombosis....Pages 495-512
Infectious Complications....Pages 513-537
Acquired von Willebrand Syndrome....Pages 539-544
Concomitant Noncardiac Surgery During Mechanical Circulatory Support: Management of Therapy....Pages 545-553
Front Matter....Pages 555-555
Novel HeartMate Cardiac Assist Systems (Thoratec)....Pages 557-563
HeartWare® HVAD® System....Pages 565-568
ReliantHeart: Forward Compatibility and TET....Pages 569-580
Early Experience with the CARMAT Bioprosthetic Artificial Heart....Pages 581-588
The ReinHeart Solution....Pages 589-592
Front Matter....Pages 593-593
Health-Economic Aspects of MCS Therapy....Pages 595-603
Front Matter....Pages 605-605
The EUROMACS Registry of Patients Who Receive Mechanical Circulatory Support: Role and Perspectives....Pages 607-611
Back Matter....Pages 613-615