Mechanical support for biventricular failure using the HeartWare (HVAD) pump

Raghav Alampalli Murthy; Arjun Dhanik; Seth Hale; Lakshmi Uppalapati; Brian Bethea; Dan Marshall Meyer

doi:10.1007/s12055-016-0431-8

Mechanical support for biventricular failure using the HeartWare (HVAD) pump

Raghav Alampalli Murthy, Arjun Dhanik, Seth Hale, Lakshmi Uppalapati, Brian Bethea, Dan Marshall Meyer

Research output: Contribution to journal › Article › peer-review

Abstract

The limited availability of organs for transplant has vastly popularized implantation of left ventricular assist devices. Right ventricular failure is a continued problem with an incidence as high as 44 %, significantly decreasing survival after left ventricular assist devices (LVAD) implantation. Survival is significantly better when LVAD patients at high risk for right ventricular failure (RVF) are converted directly to biventricular assist device (BiVAD) therapy instead of LVAD with subsequent right ventricular assist device (RVAD) implantation. The options available for biventricular assistance entail a total artificial heart (TAH) or additional right-sided placement of a continuous flow/pulsatile device which could be para-corporeal or implantable. The HeartWare HVAD (HeartWare International, Framingham, MA) device in a biventricular configuration is a very attractive option. This report details experiences and techniques for implantation of the HVAD in such a configuration.

Original language	English (US)
Pages (from-to)	197-200
Number of pages	4
Journal	Indian Journal of Thoracic and Cardiovascular Surgery
Volume	32
Issue number	3
DOIs	https://doi.org/10.1007/s12055-016-0431-8
State	Published - Sep 1 2016

Keywords

Biventricular failure
Left ventricular assist device
Right ventricular failure

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Pulmonary and Respiratory Medicine
Surgery

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10.1007/s12055-016-0431-8

Cite this

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title = "Mechanical support for biventricular failure using the HeartWare (HVAD) pump",

abstract = "The limited availability of organs for transplant has vastly popularized implantation of left ventricular assist devices. Right ventricular failure is a continued problem with an incidence as high as 44 %, significantly decreasing survival after left ventricular assist devices (LVAD) implantation. Survival is significantly better when LVAD patients at high risk for right ventricular failure (RVF) are converted directly to biventricular assist device (BiVAD) therapy instead of LVAD with subsequent right ventricular assist device (RVAD) implantation. The options available for biventricular assistance entail a total artificial heart (TAH) or additional right-sided placement of a continuous flow/pulsatile device which could be para-corporeal or implantable. The HeartWare HVAD (HeartWare International, Framingham, MA) device in a biventricular configuration is a very attractive option. This report details experiences and techniques for implantation of the HVAD in such a configuration.",

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AU - Hale, Seth

AU - Uppalapati, Lakshmi

AU - Bethea, Brian

AU - Meyer, Dan Marshall

PY - 2016/9/1

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N2 - The limited availability of organs for transplant has vastly popularized implantation of left ventricular assist devices. Right ventricular failure is a continued problem with an incidence as high as 44 %, significantly decreasing survival after left ventricular assist devices (LVAD) implantation. Survival is significantly better when LVAD patients at high risk for right ventricular failure (RVF) are converted directly to biventricular assist device (BiVAD) therapy instead of LVAD with subsequent right ventricular assist device (RVAD) implantation. The options available for biventricular assistance entail a total artificial heart (TAH) or additional right-sided placement of a continuous flow/pulsatile device which could be para-corporeal or implantable. The HeartWare HVAD (HeartWare International, Framingham, MA) device in a biventricular configuration is a very attractive option. This report details experiences and techniques for implantation of the HVAD in such a configuration.

AB - The limited availability of organs for transplant has vastly popularized implantation of left ventricular assist devices. Right ventricular failure is a continued problem with an incidence as high as 44 %, significantly decreasing survival after left ventricular assist devices (LVAD) implantation. Survival is significantly better when LVAD patients at high risk for right ventricular failure (RVF) are converted directly to biventricular assist device (BiVAD) therapy instead of LVAD with subsequent right ventricular assist device (RVAD) implantation. The options available for biventricular assistance entail a total artificial heart (TAH) or additional right-sided placement of a continuous flow/pulsatile device which could be para-corporeal or implantable. The HeartWare HVAD (HeartWare International, Framingham, MA) device in a biventricular configuration is a very attractive option. This report details experiences and techniques for implantation of the HVAD in such a configuration.

KW - Biventricular failure

KW - Left ventricular assist device

KW - Right ventricular failure

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Mechanical support for biventricular failure using the HeartWare (HVAD) pump

Abstract

Keywords

ASJC Scopus subject areas

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