Mechanical Circulatory Support Therapy in Advanced Heart Failure

by Deng, Mario C.

• ISBN13: 9781860947285
• ISBN10: 186094728X
• Edition: 1st
• Format: Hardcover
• Copyright: 2007-03-01
• Publisher: Imperial College Pr

Summary

This engaging book provides a state-of-the-art introduction to the rapidly evolving field of mechanical circulatory support therapy in the care of patients with advanced heart failure. It is aimed at healthcare teams around the world who are involved in patient care, research, and teaching of advanced heart failure; healthcare professionals in training; and interested lay persons.

Table of Contents

Preface	p. v
Acknowledgments	p. vii
Advanced Heart Failure	p. 1
Epidemiology	p. 1
Management Overview	p. 4
Definition of Mechanical Circulatory Support	p. 34
Evolution of Mechanical Circulatory Support	p. 35
Individual Mechanical Circulatory Support Devices	p. 39
Evaluation	p. 70
Referral Network	p. 70
Initial Encounter	p. 75
Tests	p. 78
General Indications/Contraindications	p. 78
Bridge-to-Transplantation Mechanical Circulatory Support	p. 95
Bridge-to-Recovery Mechanical Circulatory Support	p. 97
Destination Mechanical Circulatory Support	p. 98
Differential Indications by MCSD Type	p. 102
Team Recommendation	p. 103
Patient Decision	p. 107
Management	p. 115
Preoperative Situation	p. 115
Intraoperative Situation	p. 119
Postoperative Situation	p. 120
Long-Term Follow-Up	p. 135
Differential Management by MCSD Type	p. 143
Outcomes	p. 145
Outcome Assessment/Prognostication	p. 145
Bridge-to-Transplantation Mechanical Circulatory Support	p. 155
Bridge-to-Recovery Mechanical Circulatory Support	p. 167
Destination Mechanical Circulatory Support	p. 182
Abiomed	p. 188
Thoratec	p. 189
HeartMate	p. 190
Novacor	p. 193
DeBakey	p. 193
Jarvik 2000	p. 195
Other Mechanical Circulatory Support Devices	p. 196
Differential Outcomes by MCSD Type	p. 198
Complications	p. 200
Multiorgan Failure	p. 200
Right Heart Failure	p. 200
Arrhythmia	p. 204
Infection	p. 205
Bleeding/Hemolysis	p. 221
Renal Dysfunction	p. 228
Respiratory Dysfunction	p. 230
Gastrointestinal Dysfunction	p. 231
Malnutrition	p. 233
Neurological Dysfunction	p. 234
Psychiatric Dysfunction	p. 236
Mechanical Circulatory Support Device Dysfunction	p. 238
Mechanical Circulatory Support Device Failure	p. 242
Differential Complications by MCSD Type	p. 243
Research Strategies	p. 244
Outcomes Research	p. 244
Basic and Translational Research	p. 245
Differential Development by MCSD Type	p. 249
Future Directions	p. 250
Societal Perspectives	p. 252
Role of Governmental Agencies	p. 252
Quality Assurance Considerations	p. 254
Economic Considerations	p. 255
Ethical Considerations	p. 257
Philosophical Considerations	p. 261
Summary	p. 268
References	p. 271
Appendices	p. 297
Evidence-Based Medicine Criteria	p. 297
Contacts (Industry, Expert Societies, Agencies)	p. 302
Infection Protocols	p. 314
Anticoagulation Protocols	p. 317
Columbia University Weaning Protocol	p. 320
Columbia University Evaluation Form	p. 321
Patient/Family Experience Vignettes	p. 325
Glossary	p. 376
Abbreviations	p. 392
Index	p. 395
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