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Invited Lecture “Pioneering the Future: From Transplant to Device Development”
Pages 1-9
Punto di Riferimento
per Medici e Operatori Sanitari
per Medici e Operatori Sanitari
LIBRERIA STUDIUM
Mechanical Circulatory Support in End-Stage Heart Failure
A Practical Manual
Montalto, Loforte, Musumeci, Krabatsch, Slaughter
Editore
Springer
Anno
2017
Pagine
615
ISBN
9783319433813
170,00 €
DA SCONTARE
This book is a detailed practical guide to the use of ventricular assist devices and total artificial hearts to provide mechanical circulatory support (MCS) in patients with end-stage heart failure. It explains why MCS may be indicated, which patients require MCS, when and how to implant ventricular assist devices or a total artificial heart, and how to avoid potential complications of MCS. Management throughout the period of care is described, from preimplantation to follow-up, and both typical and atypical cases are discussed. The text features numerous helpful tips and tricks relating to surgical and nonsurgical management and is supported by a wealth of high-quality illustrations that document the preoperative evaluation and implantation techniques. Heart transplantation remains the gold standard for the treatment of patients suffering from end-stage heart failure, but the shortage of donors has led to an increase in the use of MCS. This book will assist all physicians, and especially cardiologists and anesthesiologists, who are involved in the care of these patients.
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Physiopathology and Fate of End-Stage CHF in the Era of MCS
Pages 13-23
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Cardiomyopathies and Clinical Features
Pages 25-35
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MCS Candidate Selection Criteria
Pages 37-58
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Preoperative Assessment and Clinical Optimization
Pages 59-74
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Preoperative Evaluation of Right Ventricular Function
Pages 75-91
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High INTERMACS Profiles: Medical Versus MCS Treatment
Pages 93-102
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Low INTERMACS Profiles: Temporary ECMO or TAH Support
Pages 103-106
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Low INTERMACS Profiles: Temporary Midterm Paracorporeal VAD Support
Pages 107-113
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Low INTERMACS Profiles: One-Stage Durable LVAD Implantation for INTERMACS Level 1: Indications and Contraindications
Pages 115-119
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Bridge to Transplant and Destination Therapy Strategies in the United States
Pages 121-129
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Mechanical Circulatory Support as Bridge to Recovery
Pages 131-147
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Mechanical Circulatory Support as Bridge to Candidacy
Pages 149-158
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Engineering and Clinical Considerations in Rotary Blood Pumps
Pages 163-173
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Engineering and Clinical Considerations in Pulsatile Blood Pump
Pages 175-181
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Intraoperative Anesthesiological Monitoring and Management
Pages 183-191
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Transesophageal Echocardiography During LVAD Implantation
Pages 193-199
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Intraoperative Anticoagulation and Coagulation Management
Pages 201-209
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Intraoperative Right Ventricular Failure Management
Pages 211-220
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Tricuspid Valve Regurgitation and Right Ventricular Dysfunction During Left Ventricular Assist Device Implantation
Pages 221-226
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Role of Inotropes, Pulmonary Vasodilators, and Other Pharmacologic Interventions for Right Ventricular Dysfunction
Pages 227-233
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Temporary RVAD
Pages 235-240
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Which Approach? Traditional Versus MICS
Pages 241-251
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Minimal Invasive: Padua’s Approach and Technique
Pages 253-264
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To Pump or Not to Pump: The Role of CPB or ECMO
Pages 265-269
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Techniques for Inflow Cannula Placement
Pages 271-276
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Techniques for Outflow Cannula Placement
Pages 277-280
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Techniques for Driveline Positioning
Pages 281-286
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Percutaneous Devices: Options
Pages 287-298
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Paracorporeal Biventricular Assist Devices: The EXCOR® VAD System
Pages 299-304
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Biventricular Circulatory Support with Two Implantable Continuous-Flow Pumps
Pages 305-311
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The Total Artificial Heart
Pages 313-336
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Concomitant Cardiac Surgery During VAD Placement: When Is It Too Much?
Pages 337-348
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Pump Removal After Myocardial Recovery During Left Ventricular Assist Device Support
Pages 349-352
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Mechanical Circulatory Support in Pediatric Population: Clinical Considerations, Indications, Strategies, and Postoperative Management
Pages 355-359
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Continuous-Flow Pumps in Pediatric Population
Pages 361-369
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The Berlin Heart EXCOR Experience in the USA
Pages 371-380
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Ventricular Assist Device Support for Hypoplastic Left Heart Syndrome, Fontan Failure, and End-Stage Systemic Right Ventricular Dysfunction
Pages 381-390
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Continuous-Flow Pumps in Infants, Jarvik Infant System, and Destination Therapy in Pediatrics
Pages 391-399
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Physiotherapy and Rehabilitation Management in Adult LVAD Patients
Pages 403-420
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Physiotherapy and Rehabilitation Programs for Pediatric VAD Patients
Pages 421-425
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Patient- and Device-Tailored Antithrombotic Treatment
Pages 427-431
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Coagulation Monitoring
Pages 433-443
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Outpatient Management: The Role of the VAD Coordinator and Remote Monitoring
Pages 445-465
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Psychosocial Considerations of Mechanical Circulatory Support: Decision Making, Behavioral Evaluation, Quality of Life, Caregivers, and End of Life
Pages 467-476
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Ischemic and Hemorrhagic Stroke
Pages 479-487
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Gastrointestinal Bleeding
Pages 489-494
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Pump Thrombosis
Pages 495-512
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Infectious Complications
Pages 513-537
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Acquired von Willebrand Syndrome
Pages 539-544
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Concomitant Noncardiac Surgery During Mechanical Circulatory Support: Management of Therapy
Pages 545-553
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Novel HeartMate Cardiac Assist Systems (Thoratec)
Pages 557-563
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HeartWare® HVAD® System
Pages 565-568
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ReliantHeart: Forward Compatibility and TET
Pages 569-580
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Early Experience with the CARMAT Bioprosthetic Artificial Heart
Pages 581-588
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The ReinHeart Solution
Pages 589-592
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Health-Economic Aspects of MCS Therapy
Pages 595-603
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The EUROMACS Registry of Patients Who Receive Mechanical Circulatory Support: Role and Perspectives
Pages 607-611
