Mechanical Circulatory Support in End-Stage Heart Failure : A Practical Manual / edited by Andrea Montalto, Antonio Loforte, Francesco Musumeci, Thomas Krabatsch, Mark S. Slaughter.

Format:

Book

Contributor:

Montalto, Andrea, editor.

Loforte, Antonio, editor.

Musumeci, Francesco, 1953- editor.

Krabatsch, Th., editor.

Slaughter, Mark S., editor.

SpringerLink (Online service)

Language:

English

Subjects (All):

Medicine.

Anesthesiology.

Critical care medicine.

Cardiology.

Heart--Surgery.

Heart.

Chest--Surgery.

Chest.

Transplantation of organs, tissues, etc.

Medicine & Public Health.

Cardiac Surgery.

Intensive / Critical Care Medicine.

Transplant Surgery.

Thoracic Surgery.

Local Subjects:

Medicine & Public Health.

Cardiology.

Cardiac Surgery.

Anesthesiology.

Intensive / Critical Care Medicine.

Transplant Surgery.

Thoracic Surgery.

Physical Description:

1 online resource (XXIII, 615 pages 234 illustrations, 208 illustrations in color.)

Contained In:

Springer eBooks

Place of Publication:

Cham : Springer International Publishing : Imprint: Springer, 2017.

System Details:

text file PDF

Summary:

This book is a detailed practical guide to the use of ventricular assist devices and total artificial hearts to provide mechanical circulatory support (MCS) in patients with end-stage heart failure. It explains why MCS may be indicated, which patients require MCS, when and how to implant ventricular assist devices or a total artificial heart, and how to avoid potential complications of MCS. Management throughout the period of care is described, from preimplantation to follow-up, and both typical and atypical cases are discussed. The text features numerous helpful tips and tricks relating to surgical and nonsurgical management and is supported by a wealth of high-quality illustrations that document the preoperative evaluation and implantation techniques. Heart transplantation remains the gold standard for the treatment of patients suffering from end-stage heart failure, but the shortage of donors has led to an increase in the use of MCS. This book will assist all physicians, and especially cardiologists and anesthesiologists, who are involved in the care of these patients.

Contents:

PART I: PREOPERATIVE EVALUATION - 1 Physiopathology and Fate of End-Stage Cardiac Heart Failure in the era of Mechanical Circulatory Support

2 The Advantage of Mechanical Solution: Results of Clinical Trials to Date

3 Mechanical Circulatory Support Candidate Selection Criteria

4 Preoperative Assessment and Clinical Optimization

5 Preoperative Evaluation of Right Ventricular Function

6 High INTERMACS profiles: Medical vs. Mechanical Circulatory Support treatment

7 Low INTERMACS Profiles: which Strategies? (Temporary ECMO or TAH support; Temporary mid-term Paracorporeal Ventricular Assisted Device Support; Primary long-term Ventricular Assisted Device placement)

8 From BTT to DT Strategy: USA and Europe views

9 Mechanical Circulatory Support as a Bridge to Recovery

10 Mechanical Circulatory Support as a Bridge to Candidacy

PART II: INTRAOPERATIVE TIPS AND PITFALLS - 11 Pulsatile vs. Continuous Flow pumps: Engineering and Clinical Considerations

12 Which Approach? Traditional vs. MICS

13 To Pump or not to Pump: the Role of Cardio-Pulmonary Bypass or ECMO

14 Techniques for Inflow Cannula Placement

15 Techniques for Outflow Cannula Placement

16 Techniques for Driveline Positioning

17 Percutaneous Devices: Options

18 Paracorporeal Biventricular Devices

19 Biventricular Implantable Continuous flow pumps

20 The Total Artificial Heart

21 Mechanical Circulatory Support in Pediatric Population

22 Concomitant Cardiac Surgery during Ventricular Assisted Device Placement: When is It too Much?

23 Pump Removal after Recovery

24 Intraoperative anesthesiological monitoring and management

25 Intraoperative right ventricular failure management

PART III: POSTOPERATIVE RECOMMENDATIONS - 26 Physiotherapy and Rehabilitation Management in Ventricular Assisted Device Patients

27 Coagulation Monitoring

28 Adverse events management: Ischemic and Haemorragic Stroke

29 Adverse events management: Gastro-intestinal Bleeding

30 Adverse events management: Pump Thrombosis

31 Adverse events management: Infectious Complications

32 Adverse events management: AVW Syndrome

33 Adverse events management: Concomitant non-Cardiac Surgery during MCS: Management of Therapy

34 Pump and Equipment Failure: How to Behave

35 The Outpatient Care: The Role of Ventricular Assisted Device coordinator and the Remote Monitoring

PART IV: MISCELLANEA - 36. Miniaturization and Future Technologies

37 ReliantHeart - Forward Compatibility and TET

38 The BIVACOR project

39 Potential of CARMAT in the Future

40 The ReinHeart Solution

41 Ethical and Psychological aspects of long-term MCS

42 Health-Economic Aspects of Mechanlical Circulatory Support Therapy

43 The Mechanical Circulatory Support Registries: Role and Perspectives

44 Conclusions.

Other Format:

Printed edition:

ISBN:

9783319433837

Access Restriction:

Restricted for use by site license.