DESCRIPTION:
In the last two decades, tremendous strides in the field of mechanical support have extended the lives of countless sufferers of congestive heart failure, who total close to 1% of the US population. This technology has saved the lives of patients with acute heart failure due to heart attacks, dilated cardiomyopathies and post-cardiotomy shock and sustained patients with end stage congestive heart failure until a precious donor organ has become available for transplantation. In an attempt to address the growing imbalance between demand and supply of donor hearts, and armed with great hope and excitement, investigators are now examining these devices as potential alternatives to cardiac transplantation.
This book describes in detail the historical evolution, current knowledge, and future trends in the field of mechanical circulatory support. It will be of greatest interest to cardiologists, circulatory physiologists, cardiac anaesthesiologists, critical care physicians, cardiac surgeons, and other healthcare professionals who are challenged daily with the care of patients with acute and chronic heart failure.
CONTENTS:
Part I: General Aspects of Mechanical Support.
1. Clinical Left Heart Assist Devices: A Historical Perspective.
2. Physiology of Ventricular Interactions During Ventricular Assistance.
3. Device Selection.
4. Options for Mechanical Support in Pediatric Patients.
5. Anesthetic Considerations During Left Ventricular Assist Device Implantation.
6. Perioperative Management of Bleeding.
7. Management of Perioperative Right-Sided Circulatory Failure.
8. Perioperative Management of Arrhythmias in Recipients of Left Ventricular Assist Devices.
9. Management of Vasodilatory Hypotension after Left Ventricular Assist Device Placement.
10. Left Ventricular Recovery During Left Ventricular Assist Device Support.
11. Exercise Performance in Patients with Left Ventricular Assist Devices.
12. Outpatient Support.
13. Rehabilitation of the Ventricular Assist Device Recipient.
14. Quality of Life Issues Associated with the Use of Left Ventricular Assist Devices.
15. Economic Considerations of LVAD Implantation.
16. Immunobiology of Left Ventricular Assist Devices.
Part II: Available Devices.
A. Extracorporeal Devices.
17. Extracorporeal Support: Centrifugal Pumps.
18. Extracorporeal Support: The ABIOMED BVS 5000.
19. Extracorporeal Support: The Thoratec Device.
20. Extracorporeal Membrane Oxygenation in Adults.
21. Extracorporeal Support: The Berlin Heart.
Part II: Available Devices.
B. Intracorporeal Devices.
22. Intracorporeal Support: The Intra-aortic Balloon Pump.
23. Intracorporeal Support: Thermo Cardiosystems Ventricular Assist.
24. Intracorporeal Support: Novacor Left Ventricular Assist System.
25. Intracorporeal Support: Cardiowest Total Artificial Heart.
26. Axial Flow Pumps.
27. The DeBakey Ventricular Assist Device.
28. Epicardial Compression Mechanical Devices.
29. The Pennsylvania State University Totally Implantable LVAD and Total Artificial Heart.
30. The HeartSaver VAD: A Fully Implantable VAD for Long-Term Support.
