Mechanical Circulatory Support

Mechanical Circulatory Support: Principles and Applications offers innovative approaches to complex clinical scenarios and represents the current state-of-the-art for managing patients on mechanical circulatory support devices. Topics are presented in a concise fashion, making it a practical resource for care givers who need a user's manual in the heat of the moment during patient care as well as a reference for a better understanding of the unique components of every device available for human use.

This book provides a comprehensive, up-to-date analysis of the most relevant issues facing health care providers in the management of advanced heart failure. With content that features patient selection strategies, implantation techniques, device specific considerations, and management of clinical challenges in the post-operative setting, this textbook offers evidence-based answers to the complex questions facing nurses, perfusionists, advanced practice providers, and physicians.

Table of Contents

Preface
1. Introduction and Historical Context
2. Indications for MCS therapy
3. The Role for Frailty Assessments
4. Palliative Care Evaluation
5. Psychosocial Considerations
6. VAD backup for Conventional Surgery
7. Pre-operative Optimization Strategies
8. Assessment of Pulmonary Hypertension
9. Pediatric Patient Selection
10. Overview of Available Devices
11. Abbott Heartmate II
12. Abbott Hearmate 3
13. Medtronic HVAD
14. Medtronic MVAD
15. Reliant Heart Assist 5
16. Syncardia Total Artificial Heart
17. Counterpulsation for Advanced CHF
18. Abiomed Impella
19. Tandem Life Tandemheart and Protek Duo
20. Abbott Short Term Support: PHP and Centrimag
21. Extracorporeal Continuous Membrane Oxygenation
22. Berlin Heart
23. Evaheart LVAD
24. Anesthesia Considerations
25. Perfusion Considerations
26. Transesophageal Echocardiography VAD-Single
27. Median Sternotomy Approach
28. LATERAL/Off Pump Approach
29. Concomitant Procedures
30. Pediatric Support Options
31. Critical Care Management
32. Anticoagulation Strategies
33. Acquired von Willebrand Syndrome
34. Gastrointestinal Bleeding
35. Pump Thrombosis
36. Driveline and Pocket Infections
37. Cerebrovascular Accidents
38. Right Ventricular Failure
39. Renal Failure/Dialysis Options
40. Arrhythmia/Ventricular Tachycardia Ablation
41. Aortic Regurgitation
42. Hemodynamics
43. CardioMEMS
44. Reverse Remodeling and Recovery
45. Physical Rehabilitation
46. Role of VAD Coordinator/Engineer

David L. Joyce, MD, Director of Cardiac Transplantation, Medical College of Wisconsin, and Lyle D. Joyce, MD, PhD, Prof, Froedtert & Medical College of Wisconsin

Lyle and David Joyce are a father/son team who currently practice adult cardiac surgery at Froedtert & the Medical College of Wisconsin in Milwaukee. They have a vast clinical experience in the surgical management of heart failure, including cardiac transplantation, durable and short-term ventricular assist support, and cardiac replacement strategies for biventricular failure. They have collectively contributed more than 200 original articles to the medical literature, the majority of which have focused on the complex challenges of patients who require mechanical circulatory support.