Mechanical circulatory support : principles and clinical applications

__Mechanical Circulatory Support: Principles and Applications__ Cover Mechanical Circulatory Support Copyright Contents Preface Contributors 1. A Historical Perspective on the Development of Mechanical Circulatory Support Devices 2 Indications for Mechanical Circulatory Support 3 Frailty Assessment and Associations with Outcomes 4 Palliative Care in Mechanical Circulatory Support 5 Psychosocial Assessment of Patients Considered for Mechanical Circulatory Support 6 Left Ventricular Assist Device Backup for Conventional Surgery 7 Preoperative Strategies for Optimizing Mechanical Circulatory Support 8 Mechanical Circulatory Support in Patients with Pulmonary Hypertension 9 Selecting Children for Mechanical Circulatory Support 10 Device Selection for Short-​ and Long-​Term Mechanical Circulatory Support 11 The HeartMate IITM Continuous-​Flow Left Ventricular Assist System 12 The Abbott HeartMate 3TM Left Ventricular Assist System 13 The HeartWareTM HVADTM Left Ventricular Assist Device 14 The Medtronic Miniature Left Ventricular Assist Device (MVAD)TM System 15 The ReliantHeart aVAD© 16 The Syncardia Total Artificial Heart 17 Counterpulsation Circulatory Assist Devices 18 Abiomed Impella Platform 19 The Tandem: Life System Device Description, Implantation, and Clinical Results 20 The Abbott CentriMagTM Acute Circulatory Support System and the HeartMate Percutaneous Heart PumpTM 21 Extracorporeal Membrane Oxygenation 22 The Berlin Heart Ventricular Assist Devices 23 EVAHEART® 2 Left Ventricular Assist Device System 24 Anesthesia 25 Perfusion Considerations 26 Echocardiography in Left Ventricular Assist Device Recipients 27 Implantation of Continuous-​Flow Left Ventricular Assist Devices via Sternotomy Technical Considerations 28 The Less-​Invasive (Lateral) Approach to Left Ventricular Device Implantation 29 Concomitant Cardiac Valve Procedures with Circulatory Support Device Implantation 30 Providing Mechanical Support to Children Size and Anatomical Considerations 31 Postoperative Management after Assist Device Implantation 32 Anticoagulation Strategies for Patients on Mechanical Circulation Support 33 Acquired von Willebrand Syndrome with Mechanical Circulatory Support 34 Gastrointestinal Bleeding in Patients with Left Ventricular Assist Devices 35 Pump Thrombosis 36 Infectious Complications of Mechanical Circulatory Support 37 Cerebral Blood Flow and Stroke in Patients with Left Ventricular Assist Devices 38 Right Heart Dysfunction 39 Renal Failure and Mechanical Circulatory Support Devices 40 Arrhythmia/​Ventricular Tachycardia Ablation 41 Aortic Regurgitation in Patients with Left Ventricular Assist Devices 42 Modalities of Left Ventricular Assist Device Optimization 43 The CardioMEMS Heart Failure Monitoring System 44 Mechanical Circulatory Support as a Bridge to Recovery 45 Cardiac and Physical Rehabilitation 46 The VAD Coordinator Roles and Responsibilities in Caring for Patients with Ventricular Assist Devices Index Mechanical circulatory support (MCS) offers life-saving treatment options for patients with advanced heart failure, cardiogenic shock, and acute cardiopulmonary failure. With the development of short-term, long-term, left-sided, right-sided, biventricular, and cardiopulmonary support options, the complexity surrounding this field has evolved substantially in the past decade. This textbook seeks to provide a logical and systematic framework for managing patients who require MCS therapies. In chapters 2-9, a comprehensive approach to selecting and preparing patients for MCS interventions is described. In chapters 10-23, the range of currently available devices is reviewed with updates on the most up-to-date clinical experiences based on recently published outcomes. Chapters 24-30 describe the current state of the art in perioperative strategies for achieving long-term success. Finally, chapters 31-46 outline the myriad of clinical challenges that often occur in the postoperative period, including some of the frequently encountered adverse events that are unique to the physiology associated with this technology. The fundamental principles included in this textbook will provide a framework for the MCS provider that can serve as a road map amidst the rapidly evolving landscape created by the technology pipeline within this industry Mechanical Circulatory Support: Principles and Applications offers innovative approaches to complex clinical scenarios and represents the current state-of-the-art for managing patients on mechanical circulatory support devices. Topics are presented in a concise fashion, making it a practical resource for care givers who need a user's manual in the heat of the moment during patient care as well as a reference for a better understanding of the unique components of every device available for human use. This book provides a comprehensive, up-to-date analysis of the most relevant issues facing health care providers in the management of advanced heart failure. With content that features patient selection strategies, implantation techniques, device specific considerations, and management of clinical challenges in the post-operative setting, this textbook offers evidence-based answers to the complex questions facing nurses, perfusionists, advanced practice providers, and physicians. Mechanical Circulatory Support: Principles and Applications, 2nd Edition, offers a thoughtful approach to patient selection, a comprehensive review of various device options, and a detailed approach to adverse event management. This textbook is an essential read for health care providers at all levels who are involved in the care of these complex patients. 'Mechanical Circulatory Support', second edition, offers a thoughtful approach to patient selection, a comprehensive review of various device options, and a detailed approach to adverse event management. This textbook is an essential read for health care providers at all levels who are involved in the care of these complex patients