Mechanical circulatory support with the ABIOMED BVS 5000: The Toronto General Hospital experience

Building a Bridge to Save a Failing Ventricle: Radiologic Evaluation of Short- and Long-term Cardiac Assist Devices

“…Standard cannulation techniques are used for LVAD implantation, with left atrial or left ventricular apical cannulation performed for inflow and the ascending aorta used for outflow (Fig 14c). For RVAD implantation, right atrial cannulation is used for inflow, and the pulmonary artery or right ventricle is used for outflow (26) (Fig 14c).…”

“…The most common complication associated with these devices is excessive bleeding, which usually occurs at the aortic anastomosis site (26). Other possible complications include sepsis, stroke, liver dysfunction, and acute renal failure (26).…”

“…Other possible complications include sepsis, stroke, liver dysfunction, and acute renal failure (26).…”

Mechanical assistance of the circulation during cardiogenic shock

“…Short-term RVADs are typically applied in right-ventricular failure after longterm LVAD implantation [18,62,63 ].…”

Resurgence of extracorporeal support for the primary management of cardiogenic shock

“…However, many of these devices required central cannulation via a median sternotomy, which proved to be daunting in patients with circulatory arrest or established coagulopathies. 3,4 In this issue of the Journal, Tarzia and colleagues 5 report favorable results in a highly selected series of patients from their institution. Over a more than 4-year period, 249 patients received ECLS therapy at their institution.…”