Risk Stratification and Optimization to Prevent Right Heart Failure During Left Ventricular Assist Device Implantation

被引：7
作者：
Liu, Hua [1 ,2 ]
Jones, Everett [2 ]
Jeng, Eric [3 ]
Peng, Kevin L. [4 ]
Peng, Yong G. [2 ]
机构：
[1] Fudan Univ, Zhongshan Hosp, Dept Crit Care Med, Shanghai, Peoples R China
[2] Univ Florida, Coll Med, Dept Anesthesiol, 1600 SW Archer Rd,POB 100254, Gainesville, FL 32610 USA
[3] Univ Florida, Coll Med, Dept Surg, Div Thorac & Cardiovasc Surg, Gainesville, FL USA
[4] Rice Univ, Houston, TX USA
来源：
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2021年 / 35卷 / 11期
关键词：
left ventricular assist device; right heart failure; biomarker; echocardiography; ADVERSE EVENTS; PREDICTION; CONSEQUENCES; FREQUENCY; SUPPORT; IMPACT; INDEX; RATIO; SCORE;
D O I：
10.1053/j.jvca.2020.09.130
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Left ventricular assist device (LVAD) implantation results in superior survival rates compared with optimal medical therapy in patients with end -stage heart failure. However, a potential complication of LVAD implantation is right heart failure (RHF), which can be devastating. Therefore, identifying preoperative risk factors for RHF and optimal management for these patients are critical for ensuring favorable postoperative out-comes. This review focuses on methods of assessing the risk factors for RHF before surgery, including evaluation of biomarkers, echocardiogra-phy, hemodynamics, risk-scoring systems, and existing conditions of right heart dysfunction. In addition, the review also explores the perioperative strategic approaches to reducing the likelihood of RHF. (c) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码：3385 / 3393
页数：9
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