Optimal, Early Postoperative Management of Cardiac Transplant and Durable Left Ventricular Assist Recipients.
Miriam FreundtElizabeth LavangaChristoph BrehmPublished in: Current cardiology reports (2022)
Advancements in technology allow for percutaneous mechanical circulatory support of both the right and left ventricles either isolated or combined via subclavian and neck vessels. Since the adult heart allocation system has been changed to reduce waitlist mortality, the use of temporary mechanical circulatory support has increased. This has influenced preoperative optimization by enabling ambulation and majorly changed postoperative strategy. New doors have been opened for a multidisciplinary approach to facilitate rapid weaning of inotropic medications, limitation of sedation, early liberation from mechanical ventilation, and mobilization. Individualized percutaneous mechanical circulatory support offers new possibilities for the early postoperative management of highly complex patients undergoing cardiac transplantation or durable left ventricular assist device implantation.
Keyphrases
- patients undergoing
- mechanical ventilation
- left ventricular
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- intensive care unit
- left ventricular assist device
- heart failure
- minimally invasive
- ultrasound guided
- acute myocardial infarction
- hypertrophic cardiomyopathy
- respiratory failure
- cardiovascular events
- aortic stenosis
- stem cells
- mitral valve
- acute coronary syndrome
- bone marrow
- loop mediated isothermal amplification
- transcatheter aortic valve replacement