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Mechanical Circulatory Assistance

August 12, 2015
A single institution retrospectively reviewed the correlation of preoperative serum albumin level with outcomes after LVAD implantation from 2006 to 2014.  A lower albumin level was associated with a significant increase in postop renal failure and prolonged hospitalization, but not overall short-term and long-term survival.
August 6, 2015
This retrospective analysis of the BTT continuous flow (CF) LVAD experience from Harefield Hospital addresses the question: "What are the predictors of the requirement for an RVAD at the time of LVAD implantation?" Of the 152 patients included in the study, 23% underwent RVAD implantation.
June 30, 2015
In this video, the authors describe their experience using a percutaneous left ventricular assist device (LVAD) as a bridge to transplant in a morbidly obese pediatric patient with severe heart failure due to viral myocarditis.
June 20, 2015
The University of Wisconsin group analyzed the etiology, costs, and effect on survival of unplanned readmissions after LVAD surgery.  At a median follow-up of 11 months, 68 of the 103 patients (66%) were readmitted.  The top 3 causes of readmission were GI bleeding, driveline infection, and stroke.
April 19, 2015
The Mayo Clinic reviewed its series using VA ECMO for postcardiotomy support in patients older than the age of 70 years.  Not surprisingly, only a quarter of patients were able to be discharged alive.
April 19, 2015
The authors retrospectively analyzed the causes of death and their temporal relationship to surgery for close to 500 patients undergoing LVAD implantation at their institutions.
April 14, 2015
Filmed at the 2015 STS Annual Meeting in San Diego, Michael Bolanos and Mark Slaughter discuss topics in mechanical circulatory support and heart transplantation.
April 9, 2015
This concensus statement reviews the unique physiology, insertion techniques, and clinical indications for use of percutaneous mechanical circulatory support devices.  As the options for management of different etiologies of heart failure in adult and pediatric populations expand, understanding the advantages of specific devices is vital. 
March 2, 2015
The authors retrospectively analyze outcomes for patients placed on ECMO for cardiogenic shock, and separately analyze the patients depending on whether the ECMO support was for isolated acute cardiogenic shock or for acute-upon-chronic cardiogenic shock.
February 6, 2015
The Columbia University group performed this retrospective review of femoral VA ECMO at their institution from 2007-2013, and analyzed short-term outcomes based on the size of the arterial cannula.

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