Physiology and Clinical Utility of HeartMate Pump Parameters

被引:28
作者
Belkin, Mark N. [1 ]
Kagan, Viktoriya [2 ]
Labuhn, Colleen [2 ]
Pinney, Sean P. [1 ]
Grinstein, Jonathan [1 ]
机构
[1] Univ Chicago Med, Sect Cardiol, Chicago, IL USA
[2] Univ Chicago Med, Sect Cardiac Surg, Chicago, IL USA
关键词
Left ventricular assist device; HeartMate; pump parameters; pulsatility index; AORTIC-INSUFFICIENCY; FAILURE; SOCIETY; DEVICES; EVENTS; IMPACT;
D O I
10.1016/j.cardfail.2021.11.016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The HeartMate 3 left ventricular assist device (LVAD) is now the only centrifugal pump intended for durable support being actively manufactured and implanted for adults in the United States. The changes in preload and afterload that accompany common clinical scenarios experienced by patients with an LVAD will cause specific changes to the LVAD pump parameters, namely, the pump power, pulsatility index, and flow. Appropriate care of this unique, and growing, population requires a full understanding of these variables as well as the underlying physiologic principles governing their derivation. The aim of this review is to focus on the updated functionality of the HeartMate 3, specifically in comparison to the HeartMate II, as well as the application of pump parameter interpretation to common clinical scenarios.
引用
收藏
页码:845 / 862
页数:18
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