Challenges faced in long term ventricular assist device support

被引：1

作者：

Ikegami, Hirohisa ^{[1
]}

Kurlansky, Paul ^{[1
]}

Takeda, Koji ^{[1
]}

Naka, Yoshifumi ^{[1
]}

机构：

[1] Columbia Univ, Div Cardiothorac Surg, Dept Surg, Med Ctr, 177 Ft Washington Ave, New York, NY 10032 USA

来源：

EXPERT REVIEW OF MEDICAL DEVICES | 2016年 / 13卷 / 08期

关键词：

End-stage heart failure; ventricular assist device; mechanical cardiac support; long term; complications; postoperative management; outcome; MECHANICAL CIRCULATORY SUPPORT; RIGHT HEART-FAILURE; TRICUSPID-VALVE PROCEDURES; VON-WILLEBRAND-SYNDROME; PERCUTANEOUS TRANSCATHETER CLOSURE; INTERMACS ANNUAL-REPORT; RISK-FACTOR ANALYSIS; NATIVE AORTIC-VALVE; CONTINUOUS-FLOW; ARTERIOVENOUS-MALFORMATIONS;

D O I：

10.1080/17434440.2016.1208557

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Introduction: The development of ventricular assist device (VAD) has been one of the revolutionary advancements in end-stage heart failure management. Although the device has developed and improved significantly over the last few decades, we still face multiple challenges.Areas covered: This review will discuss quality of life, survival, and clinically encountered complications in patients with VAD support. The literature was extensively reviewed for studies describing the above topic area. We describe the impact of major challenges faced in VAD support and discuss their future and expectations.Expert commentary: The technological advancement of VADs has contributed to major improvement of overall survival, enhancement of quality of life and decrease of incidence of complications. It is expected that technologies will continue to evolve. At the same time, the indications for and timing of device implantation, and selection of device type are continuously important in clinical practice setting.

引用

页码：727 / 740

页数：14

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