As the Authors have stated: "maximal medical therapy can no longer be seen as a justifiable end‐point for refractory circulatory shock, at least in well‐resourced health settings." To frame their discussion on mechnical circulatory support (MCS) in the current era, they have provided a case vignette for options potentially available to the patient wi
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March 18, 2016
March 7, 2016
This is a very interesting and provocative article that discusses Exracorporeal Cardiac Life Support (ECLS) as an adjunct to CPR. ECLS has gained in popularity with new tools and techniques, ECLS guidelines, protocols and better understanding of the importance of early initiation.
February 19, 2016
Three protocols for LVAD resuscitation in different situations.
Acoustic Characterization of Axial Flow Left Ventricular Assist Device Operation In Vitro and In Vivo.
November 5, 2015
The investigators report a novel technology to predict VAD thrombosis. This approach records and measures acustic signature characteristics. Using annalysis of spectral tracings the investigators suggest their exists an acoustic patern associated with thrombosis.
September 17, 2015
The paper evaluates de novo development of aortic insufficiency (AI) following implantation of continuous flow left ventricular assist (84 HeartMate II, 13 HeartWare, 2 VentrAssist). Preoperatively, 17 patients had mild AI, which did not change later.
September 17, 2015
The authors describe the tricks and traps of minimally invasive approach during VAD implantation, by associating mini anterior left thoracotomy in the fifth intercostal space with a mini anterior right thoracotomy in the second intercostal space, without the aid of CPB in paravertebral block regional analgesia combined with mild general anaesthesia.
August 31, 2015
Arie Blitz of the McAllen Heart Hospital, McAllen, Texas, discusses ventricular assist device RPM settings to maximize output and effectiveness.
Surgical approach to continuous-flow left ventricular assist device explantation: A comparison of outcomes
August 14, 2015
The Texas Heart Institute reports its experience with 27 patients with prior continuous flow LVADs who had undergone varying degrees of device explantation. Although the numbers are small, the explantation methods ranged from near-complete device removal to driveline transection and removal.
Effect of Preoperative Albumin Levels on Outcomes in Patients Undergoing Left Ventricular Device Implantation.
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.
Preoperative predictors and outcomes of right ventricular assist device implantation following continuous-flow left ventricular assist device implantation
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.