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Mechanical circulatory support: Outpatient management 

Mechanical circulatory support: Outpatient management
Chapter:
Mechanical circulatory support: Outpatient management
Author(s):

Mandeep R. Mehra

and Michael J. Domanski

DOI:
10.1093/med/9780198734871.003.0015
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date: 22 September 2019

Once discharged from hospital to ambulatory status, long-term success with mechanical circulatory support devices is critically dependent upon diligent monitoring of the patient including attention to early detection of device-related complications. Follow-up of these patients is complex and includes optimal volume management, recognition and therapy of right heart failure, anticoagulation management, surveillance for arrhythmia, blood pressure management, and assessing for bleeding complications (especially gastrointestinal bleeding), as well as neurological events and device malfunction, particularly pump thrombosis. This chapter specifically discusses continuous-flow axial or centrifugal devices, by far the most common forms of circulatory support in patients who are not hospitalized.

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