Mechanical support for biventricular failure using the HeartWare (HVAD) pump

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• 作者：Raghav Alampalli Murthy ; Arjun Dhanik…
• 关键词：Biventricular failure ; Right ventricular failure ; Left ventricular assist device
• 刊名：Indian Journal of Thoracic and Cardiovascular Surgery
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：32
• 期：3
• 页码：197-200
• 全文大小：374 KB
• 刊物主题：Thoracic Surgery; Cardiac Surgery; Vascular Surgery; Surgery;
• 出版者：Springer India
• ISSN：0973-7723
• 卷排序：32

文摘

The limited availability of organs for transplant has vastly popularized implantation of left ventricular assist devices. Right ventricular failure is a continued problem with an incidence as high as 44 %, significantly decreasing survival after left ventricular assist devices (LVAD) implantation. Survival is significantly better when LVAD patients at high risk for right ventricular failure (RVF) are converted directly to biventricular assist device (BiVAD) therapy instead of LVAD with subsequent right ventricular assist device (RVAD) implantation. The options available for biventricular assistance entail a total artificial heart (TAH) or additional right-sided placement of a continuous flow/pulsatile device which could be para-corporeal or implantable. The HeartWare HVAD (HeartWare International, Framingham, MA) device in a biventricular configuration is a very attractive option. This report details experiences and techniques for implantation of the HVAD in such a configuration.