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.

About the Author

Lyle and David Joyce are a father/son team who currently practice adult cardiac surgery at Froedtert & the Medical College of Wisconsin in Milwaukee. They have a vast clinical experience in the surgical management of heart failure, including cardiac transplantation, durable and short-term ventricular assist support, and cardiac replacement strategies for biventricular failure. They have collectively contributed more than 200 original articles to the medical literature, the majority of which have focused on the complex challenges of patients who require mechanical circulatory support.

Contents

۱ A Historical Perspective on the Development of Mechanical Circulatory Support Devices
۲ Indications for Mechanical Circulatory Support
۳ Frailty Assessment and Associations with Outcomes
۴ Palliative Care in Mechanical Circulatory Support
۵ Psychosocial Assessment of Patients Considered for Mechanical Circulatory Support
۶ Left Ventricular Assist Device Backup for Conventional Surgery
۷ Preoperative Strategies for Optimizing Mechanical Circulatory Support
۸ Mechanical Circulatory Support in Patients with Pulmonary Hypertension
۹ Selecting Children for Mechanical Circulatory Support
۱۰ Device Selection for Short- and Long-Term Mechanical Circulatory Support
۱۱ The HeartMate 11 Continuous-Flow Left Ventricular Assist System
۱۲ The Abbott HeartMate 3 Left Ventricular Assist System
۱۳ The HeartWare HVAD Left Ventricular Assist Device
۱۴ The Medtronic Miniature Left Ventricular Assist Device (MVAD) System
۱۵ The ReliantHeart aVAD©
۱۶ The Syncardia Total Artificial Heart
۱۷ Counterpulsation Circulatory Assist Devices
۱۸ Abiomed Impella Platform
۱۹ The Tandem: Life System Device Description, Implantation, and Clinical Results
۲۰ The Abbott CentriMag Acute Circulatory Support System and the HeartMate Percutaneous Heart Pump
۲۱ Extracorporeal Membrane Oxygenation
۲۲ The Berlin Heart Ventricular Assist Devices
۲۳ EVAHEART® ۲ Left Ventricular Assist Device System
۲۴ Anesthesia
۲۵ Perfusion Considerations
۲۶ Echocardiography in Left Ventricular Assist Device Recipients
۲۷ Implantation of Continuous-Flow Left Ventricular Assist Devices via Sternotomy Technical Considerations
۲۸ The Less-Invasive (Lateral) Approach to Left Ventricular Device Implantation
۲۹ Concomitant Cardiac Valve Procedures with Circulatory Support Device Implantation
۳۰ Providing Mechanical Support to Children Size and Anatomical Considerations
۳۱ Postoperative Management after Assist Device Implantation
۳۲ Anticoagulation Strategies for Patients on Mechanical Circulation Support
۳۳ Acquired von Willebrand Syndrome with Mechanical Circulatory Support
۳۴ Gastrointestinal Bleeding in Patients with Left Ventricular Assist Devices
۳۵ Pump Thrombosis
۳۶ Infectious Complications of Mechanical Circulatory Support
۳۷ Cerebral Blood Flow and Stroke in Patients with Left Ventricular Assist Devices
۳۸ Right Heart Dysfunction
۳۹ Renal Failure and Mechanical Circulatory Support Devices
۴۰ Arrhythmia/Ventricular Tachycardia Ablation
۴۱ Aortic Regurgitation in Patients with Left Ventricular Assist Devices
۴۲ Modalities of Left Ventricular Assist Device Optimization
۴۳ The CardioMEMS Heart Failure Monitoring System
۴۴ Mechanical Circulatory Support as a Bridge to Recovery
۴۵ Cardiac and Physical Rehabilitation
۴۶ The VAD Coordinator Roles and Responsibilities in Caring for Patients with Ventricular Assist Devices