How to Optimize Patient Selection and Device Performance of the Newest Generation Left Ventricular Assist Devices

Albert, Chonyang L.; Estep, Jerry D.

doi:10.1007/s11936-019-0748-x

Cited by 4 publications

(1 citation statement)

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“…[ 24 – 26 ] LVAD implantation in type 2 PH frequently leads to significant reductions in TPG and PVR and this is attributed to the LVAD’s ability to mechanically unload the LV and subsequently reduce left-sided filling pressures ( Figure 2 ). [ 27 – 31 ] Therefore, LVAD implantation offers an opportunity for patients with advanced HF and type 2 PH without other comorbidities to become eligible for heart transplantation.…”

Section: Right Heart Catheterisation Prior To Lvad Implantationmentioning

confidence: 99%

Invasive Haemodynamic Assessment Before and After Left Ventricular Assist Device Implantation: A Guide to Current Practice

González¹,

Callan

2021

Interv Cardiol

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Mechanical circulatory support for the management of advanced heart failure is a rapidly evolving field. The number of durable long-term left ventricular assist device (LVAD) implantations increases each year, either as a bridge to heart transplantation or as a stand-alone ‘destination therapy’ to improve quantity and quality of life for people with end-stage heart failure. Advances in cardiac imaging and non-invasive assessment of cardiac function have resulted in a diminished role for right heart catheterisation (RHC) in general cardiology practice; however, it remains an essential tool in the evaluation of potential LVAD recipients, and in their long-term management. In this review, the authors discuss practical aspects of performing RHC and potential complications. They describe the haemodynamic markers associated with a poor prognosis in patients with left ventricular systolic dysfunction and evaluate the measures of right ventricular (RV) function that predict risk of RV failure following LVAD implantation. They also discuss the value of RHC in the perioperative period; when monitoring for longer term complications; and in the assessment of potential left ventricular recovery.

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Section: Right Heart Catheterisation Prior To Lvad Implantationmentioning

confidence: 99%