Non-traditional Inflow, Outflow, and Biventricular Configurations of Durable Ventricular Assist Devices.

IF 2.5 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Aaron M Williams, Swaroop Bommareddi, John M Trahanas, Brian Lima, Awab Ahmad, Aniket S Rali, Sandip K Zalawadiya, Ashish S Shah
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引用次数: 0

Abstract

Ventricular assist device (VAD) technologies have advanced in recent years from large, pulsatile devices to smaller continuous flow (CF) pumps. As such, their design has allowed surgeons to pioneer less invasive methods of implantation with alternative configurations to treat a larger number of patients with varied types of cardiomyopathies who are often sick with high-risk clinical scenarios. In recent years, these patients appear to have a higher degree of vascular disease and have had multiple prior cardiac surgeries. In this review, we highlight both standard as well as alternative VAD configurations including additional inflow and outflow cannulation techniques along with considerations for biventricular support for both durable biventricular VADs and as a total artificial heart configuration.

耐用心室辅助装置的非传统流入、流出和双心室配置。
近年来,心室辅助装置(VAD)技术已经从大型脉动装置发展到较小的连续流(CF)泵。因此,他们的设计使外科医生能够率先采用微创植入方法,以替代配置来治疗大量患有各种类型心肌病的患者,这些患者通常患有高风险的临床情况。近年来,这些患者似乎有更高程度的血管疾病,并有多次心脏手术。在这篇综述中,我们强调了标准和替代的VAD配置,包括额外的流入和流出插管技术,以及考虑双心室支持耐用的双心室VAD和作为全人工心脏配置。
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来源期刊
Seminars in Thoracic and Cardiovascular Surgery
Seminars in Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine
CiteScore
5.80
自引率
0.00%
发文量
324
审稿时长
12 days
期刊介绍: Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.
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