LVAD therapy as a catalyst to heart failure remission and myocardial recovery

被引：2
作者：
Hamad, Eman A. [1 ]
Byku, Mirnela [2 ]
Larson, Sharon B. [3 ]
Billia, Filio [4 ]
机构：
[1] Temple Univ, Lewis Katz Sch Med, 3401 N Broad St, 9th Floor Parkinson, Zone C, Philadelphia, PA 19140 USA
[2] Univ N Carolina, Dept Med, Chapel Hill, NC USA
[3] Baptist Heart Inst Baptist Mem Hosp, Memphis, TN USA
[4] Univ Hlth Network, Peter Munk Cardiac Ctr, Toronto, ON, Canada
来源：
CLINICAL CARDIOLOGY | 2023年 / 46卷 / 10期
关键词：
explant; GDMT; LVAD; recovery; VENTRICULAR ASSIST DEVICE; VALVE REGURGITATION; SURGICAL APPROACH; SUCCESSFUL BRIDGE; EXPLANTATION; REMOVAL; SUPPORT; CARDIOMYOPATHY; IMPROVEMENT; MANAGEMENT;
D O I：
10.1002/clc.24094
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The management of chronic heart failure over the past decade has witnessed tremendous strides in medical optimization and device therapy including the use of left ventricular assist devices (LVAD). What we once thought of as irreversible damage to the myocardium is now demonstrating signs of reverse remodeling and recovery. Myocardial recovery on the structural, molecular, and hemodynamic level is necessary for sufficient recovery to withstand explant and achieve sustained recovery post-LVAD. Guideline-directed medical therapy and unloading have been shown to aid in recovery with the potential to successfully explant the LVAD. This review will summarize medical optimization, assessment for recovery, explant methodologies and outcomes post-recovery with explant of durable LVAD.
引用
收藏
页码：1154 / 1162
页数：9
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