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Mechanical Circulatory Assistance

November 10, 2014
The effects of exercise, increasing pump speed, or both on invasive hemodynamics in centrifugal flow LVAD patients were analyzed in this small study.  Findings included:
November 5, 2014
This video presents the options available when a patient has greater-than-mild aortic insufficiency at the time of LVAD placement, and demonstrates the performance of a Parks’ stitch.
November 3, 2014
Left ventricular assist devices (LVADs) are increasingly used for the treatment of end-stage congestive heart failure, both as a bridge to transplantation and as destination therapy (1).
October 22, 2014
This survey of publicly available information on LVAD for patients considering such therapy identified numerous flaws in the materials.  All discussed benefits, few discussed surgical issues, quality of life, and complications.  Some had outdated statistics, some were written above a 3rd grade level, and most did not meet international standards.  Th
September 9, 2014
This video demonstrates a heart transplantation in a patient with an LVAD.
June 18, 2014
John Kern, Pavan Atluri, and Francis Pagani discuss mechanical circulatory support at the 2014 STS Annual Meeting.
May 1, 2014
This video demonstrates the insertion of an Avalon catheter into a patient’s right jugular vein and the commencement of ECMO support.
January 23, 2014
In this video, the authors show how to start veno-arterial ECMO support through cervical cannulation, using the right internal jugular vein and right common carotid artery. This site is chosen over the femoral approach, as it avoids the associated complications, particularly in newborns and non-walking infants.
November 19, 2013
Left ventricular assist device implantation is an accepted treatment option for terminal heart failure. The standard surgical approach is a median sternotomy. This video shows an alternative implantation technique via a bilateral mini-thoracotomy, with ECMO as intraoperative circulatory support.
September 20, 2012
Prof. Stephan Schueler is a past president of ISHLT and of the ESCVS. He helped to set up both the Berlin Heart Centre, and a new centre in Dresden before moving to the Freeman Hospital, where he leads the Ventricular Assist Device Programme, which is the subject of this interview. Also shown are his implantation technique and an interview with one of his patients.

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