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Concurrent left ventricular assist device (LVAD) implantation and percutaneous temporary rvad support via cardiacassist protek-duo tandemheart to preempt right heart failure

Right ventricular failure (RVF) is an unfortunate complication that continues to limit outcomes following durable left ventricular assist device (LVAD) implantation. Despite several ‘RVF risk scores’ having been proposed, preoperative prediction of post-LVAD RVF remains a guesstimate at best. Curren...

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Main Authors: Schmack, Bastian (Author) , Weymann, Alexander (Author) , Popov, Aron-Frederik (Author) , Patil, Nikhil Prakash (Author) , Sabashnikov, Anton (Author) , Kremer, Jamila (Author) , Farag, Mina (Author) , Brcic, Andreas (Author) , Lichtenstern, Christoph (Author) , Karck, Matthias (Author) , Ruhparwar, Arjang (Author)
Format: Article (Journal)
Language:English
Published: 2016.05.05
In: Medical science monitor. Basic research
Year: 2016, Volume: 22, Pages: 53-57
ISSN:2325-4416
DOI:10.12659/MSMBR.898897
Online Access:Resolving-System, lizenzpflichtig, Volltext: https://doi.org/10.12659/MSMBR.898897
Verlag, lizenzpflichtig, Volltext: https://basic.medscimonit.com/abstract/index/idArt/898897
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Author Notes:Bastian Schmack, Alexander Weymann, Aron-Frederik Popov, Nikhil Prakash Patil, Anton Sabashnikov, Jamila Kremer, Mina Farag, Andreas Brcic, Christoph Lichtenstern, Matthias Karck, Arjang Ruhparwar
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Summary:Right ventricular failure (RVF) is an unfortunate complication that continues to limit outcomes following durable left ventricular assist device (LVAD) implantation. Despite several ‘RVF risk scores’ having been proposed, preoperative prediction of post-LVAD RVF remains a guesstimate at best. Current strategies for institution of temporary RVAD support are invasive, necessitate additional re-thoracotomy, restrict postoperative mobilization, and/or entail prolonged retention of prosthetic material in-situ. The authors propose a novel surgical strategy comprising simultaneous implantation of a permanent LVAD and percutaneous TandemHeart® plus ProtekDuo® to provide temporary RVAD support and preempt RVF in patients with impaired RV function.
Item Description:Gesehen am 15.05.2020
Physical Description:Online Resource
ISSN:2325-4416
DOI:10.12659/MSMBR.898897

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