Implanted Hemodynamic Monitoring in Management of Significant Right Heart Failure before and after Left Ventricular Assist Device Implantation: Creation and Maintenance of Fontan Physiology in Severe Right Ventricular Dysfunction

Kevin S. Yei, Casey Kaisi, R. Mohan, A. Srivastava, J. Heywood
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Abstract

In the left ventricular assist device (LVAD) population, right ventricular (RV) failure represents a significant cause of morbidity and mortality. It is unclear whether hemodynamic monitoring with the implantable CardioMEMS system can improve outcomes within this population. This case report highlights two patients in our clinic who had CardioMEMS implanted after LVAD, enabling us to modify their medical regimens remotely and more frequently in the management of their RV failure.
植入式血流动力学监测在左心室辅助装置植入前后显著右心衰的管理:严重右心功能障碍患者Fontan生理的产生和维持
在使用左心室辅助装置(LVAD)的人群中,右心室(RV)功能衰竭是发病率和死亡率的重要原因。目前尚不清楚植入式CardioMEMS系统的血流动力学监测是否能改善这一人群的预后。本病例报告强调了我们诊所的两名患者,他们在LVAD后植入了CardioMEMS,使我们能够远程修改他们的医疗方案,并更频繁地管理他们的RV衰竭。
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