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Device Selection for Short- and Long-Term Mechanical Circulatory Support 

Device Selection for Short- and Long-Term Mechanical Circulatory Support
Chapter:
Device Selection for Short- and Long-Term Mechanical Circulatory Support
Author(s):

Rabea Asleh

and Sarah Schettle

DOI:
10.1093/med/9780190909291.003.0010
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date: 02 December 2020

Mechanical circulatory support has expanded to meet the needs of a variety of patient populations requiring short-term and long-term applications and is utilized internationally. Short-term support devices offer treatment for cardiogenic shock and consist of varying support mechanisms, including univentricular and biventricular support options to improve hemodynamics and tissue perfusion. Investigational devices offer additional options to consider in device selection. Long-term support with ventricular assist devices or total artificial heart offers dischargeable options for lifelong support, recovery, or while patients await organ transplantation. Consideration of device availability, expenses and coverage, operator expertise, and technical challenges should be undertaken when determining patient support strategies. Reviewing patient comorbidities and time frame needed for support is imperative when considering device options to ensure appropriate device selection for each individual patient, thus mitigating risks and maximizing outcomes. Innovation will continue to drive progress in mechanical circulatory support with ongoing development of novel strategies to afford new options to optimize support of patients with heart failure.

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