The impact of continuous flow VAD on survival among patients awaiting heart transplant is not well known. Pts on the UNOS list were propensity score matched 1:2 (HeartMate II vs no VAD). Wait list mortality was 10% during the 7.5 year study. Use of a VAD improved survival to transplant at 1 (91% vs 77%) and 2 years (85% vs 68%). Use of VAD as a br
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Mechanical circulatory assistance
September 4, 2014
July 23, 2014
This video shows the repair of an infracardiac Total Anomalous Pulmonary Venous Drainage (TAPVD) with the surgeon standing to the left of the patient.
July 21, 2014
This video demonstrates VA ECMO using the right axillary artery and the right femoral vein.
June 18, 2014
John Kern, Pavan Atluri, and Francis Pagani discuss mechanical circulatory support at the 2014 STS Annual Meeting.
June 16, 2014
Using data from the Australian Cardiac Surgical Database, the authors provide further information regarding acute kidney damage after cardiac surgery. This study has added to the evidence that preoperative impairment, IABP use, red cell transfusion and infective endocarditis are predictive factors.
May 23, 2014
In this extensive review, the authors focus on extracorproreal membrane oxygenation (ECMO), both for cardiac and respiratory failure. They describe the explosive increase in ECMO use, the expanding indications, and the need for more evidence-based use.
May 21, 2014
The influence of continuous flow LVAD devices on heart transplant was examined using UNOS data, comparing outcomes of cfLVAD to pulsatile flow LVAD (pfLVAD) and no LVAD pts. cfLVAD pts spent longer time on the waitlist and were status IA for longer than either of the other groups. Waitlist survival was better for the cfLVAD pts. Post-transplant s
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.