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Mechanical circulatory support: Patient selection, optimization, and in-patient management of the patient with a left ventricular assist device 

Mechanical circulatory support: Patient selection, optimization, and in-patient management of the patient with a left ventricular assist device
Chapter:
Mechanical circulatory support: Patient selection, optimization, and in-patient management of the patient with a left ventricular assist device
Author(s):

Michael J. Domanski

and Mandeep R. Mehra

DOI:
10.1093/med/9780198734871.003.0014
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date: 18 October 2019

Implantable left ventricular assist devices (LVADs) that support out-of-hospital ambulatory patients have been developed to the point of widespread and expanding clinical use, and are a field of continuing improvement. This chapter focuses on continuous-flow LVADs with the Thoratec HeartMate II and Heartware HVAD as the typical axial-flow and centrifugal-flow pump prototypes, understanding that the principles adduced apply to other LVAD systems of which many will be entering the marketplace. Patient selection and optimization are discussed in detail alongside the fundamentals of the LVAD system covering use of the LVAD data display to deduce patient physiology and troubleshooting of the LVAD.

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