Mechanical Circulatory Support for Advanced Heart Failure

1. Front Matter

   Pages i-xv

   PDF

2. History of Mechanical Circulatory Support

   • O. H. Frazier

   Pages 1-13

3. Who Is an Appropriate Candidate for Long-Term MCS?: The Art of Patient Selection

   • Carol S. C. Lai, Andrew B. Civitello

   Pages 15-34

4. Optimization of Right Ventricular Function Preoperatively for LVAD Implantation

   • Salman Gohar, Samar Sheth, Reynolds Delgado III

   Pages 35-55

5. Bridge-to-Bridge Strategies with IABP, Impella, and TandemHeart

   • Samar Sheth, Salman Bandeali, Joggy George

   Pages 57-67

6. LVAD Surgical Implant Technique: Extraperitoneal Approach

   • Rachel A. Beaupré, Gabriel Loor, Jeffrey A. Morgan

   Pages 69-77

7. LVAD Surgical Implant Technique: Infradiaphragmatic Approach

   • Jeffrey A. Morgan, O. H. Frazier

   Pages 79-81

8. Intraoperative Anesthesia Management

   • Marissa Wagner Mery, Siavosh Saatee, Charles D. Collard

   Pages 83-93

9. Perioperative Management of LVAD Patients

   • Krishna Ayyagari, William Patrick Mulvoy III, Arthur W. Bracey, Cesar A. Castillo, James P. Herlihy

   Pages 95-127

10. Management of Fluid Balance and Perioperative Renal Complications

    • Whitson B. Etheridge, Sarah A. Shearer

    Pages 129-144

11. Chronic Management of Patients with Left Ventricular Assist Devices

    • Luke C. Cunningham, Ajith P. Nair

    Pages 145-159

12. Surveillance Echocardiography for LVAD Patients

    • Raymond F. Stainback

    Pages 161-189

13. Diagnosis of Device Thrombosis

    • Cyril Varughese, Ajith P. Nair, Jordan Chaisson

    Pages 191-197

14. Device Exchange: THI Technique Involving a Left Subcostal Approach

    • Tadahisa Sugiura, Masashi Kawabori

    Pages 199-202

15. Mechanical Circulatory Support to Bridge to a Long-Term Continuous-Flow Left Ventricular Assist Device as a Bridge to Heart Transplantation

    • Chitaru Kurihara

    Pages 203-207

16. Outcomes Using LVADs for Destination Therapy

    • Priyanka Sen, Selby Oberton

    Pages 209-219

17. Cardiac Regenerative Strategies for Advanced Heart Failure

    • Vivekkumar B. Patel, Megumi Mathison, Vivek Singh, Jianchang Yang, Todd K. Rosengart

    Pages 221-237

18. Long-Term Complications of Ventricular Assist Devices

    • George V. Letsou

    Pages 239-249

19. Right Ventricular Failure in Patients Undergoing LVAD Placement

    • David Kuten, Joggy K. George

    Pages 251-261

20. Back Matter

    Pages 263-272

    PDF

This book provides the most up to date information on every aspect of clinical care relating to patients with advanced heart failure who require mechanical circulatory support as a treatment strategy. The book begins with an extensive description of the preoperative patient selection process as well as preoperative medical optimization, including bridge to bridge strategies with short-term devices. The book then transitions into a description of a variety of surgical implantation techniques with special considerations for reoperative surgery. A chapter on intraoperative anesthesia management is specifically focused on intraoperative issues relating to MCS patients. Subsequent chapters focus on perioperative management as well as long-term management of patients on MCS, including optimization of a patient’s LVAD speed. A dedicated chapter on the diagnosis of device thrombosis as well as surgical techniques and outcomes associated with device exchanges is also included. The book also summarizes the national and international outcomes data for using MCS as a bridge to transplant and destination therapy. There is also a chapter on the utility of stem cells as an adjunct technique for inducing myocardial recovery. Finally, the book has chapters on complications of MCS, management of right ventricular failure, and the future of MCS.

• IABP
• LVAD Implantation
• Device Thrombosis
• Echocardiography
• Left Thoracotomy

“This is an excellent and comprehensive book on a broad and complicated area in medicine. It is well thought out and written by some of the leaders in the field of mechanical circulatory support (MCS) therapy. ... This book presents a comprehensive and up-to-date approach to patients with heart failure requiring mechanical circulatory support. It will be a great resource for physicians in the field of heart failure.” (Aditya Bansal, Doody's Book Reviews, February, 2018)

• Division of Cardiothoracic Transplantation, Surgical Director, Mechanical Circulatory Support and Cardiac Transplantation, Texas Heart Institute at Baylor St. Luke’s Medical Center, Baylor College of Medicine, Houston, USA

  Jeffrey A. Morgan

• Medical Director, Heart Transplant Program, Co-Director, Advanced Heart Failure Center, Texas Heart Institute at Baylor St. Luke’s Medical Center, Baylor College of Medicine, Houston, USA

  Andrew B. Civitello

• Center for Cardiac Support, Texas Heart Institute at Baylor St. Luke’s Medical Center, Baylor College of Medicine, Houston, USA

  O.H. Frazier

Jeffrey A. Morgan, MD
Chief, Division of Cardiothoracic Transplantation
Surgical Director, Advanced Heart Failure Center
CHI Baylor St. Luke’s Medical Center
Texas Heart Institute
6770 Bertner Avenue, Suite C-355N
Houston, TX 77030




Andrew Civitello, MD
Medical Director, Heart Transplant Program
Co-Director, Advanced Heart Failure Center
CHI Baylor St. Luke’s Medical Center
Texas Heart Institute
6620 Main Street, Suite 1225
Houston, TX 77030




O.H. Frazier, MD
Chief, Center for Cardiac Support
CHI Baylor St. Luke’s Medical Center
Texas Heart Institute
PO Box 20345, MC 2-114A
Houston, TX 77225

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