Echocardiographic assessment for ventricular assist device placement

被引：29

作者：

Flores, Antolin S. ^{[1
]}

Essandoh, Michael ^{[1
]}

Yerington, Gregory C. ^{[1
]}

Bhatt, Amar M. ^{[1
]}

Iyer, Manoj H. ^{[1
]}

Perez, William ^{[1
]}

Davila, Victor R. ^{[1
]}

Tripathi, Ravi S. ^{[1
]}

Turner, Katja ^{[1
]}

Dimitrova, Galina ^{[1
]}

Andritsos, Michael J. ^{[1
]}

机构：

[1] Ohio State Univ, Dept Anesthesiol, Wexner Med Ctr, Doan Hall N411,410 West 10th Ave, Columbus, OH 43210 USA

来源：

JOURNAL OF THORACIC DISEASE | 2015年 / 7卷 / 12期

关键词：

Echocardiography; left ventricular assist devices (LVAD); ventricular assist device; transesophageal echocardiography (TEE); HEART-FAILURE; INTERNATIONAL-SOCIETY; AMERICAN SOCIETY; IMPLANTATION; MANAGEMENT; RECOMMENDATIONS; GUIDELINES; TRANSPLANTATION; PREDICTORS; THERAPY;

D O I：

10.3978/j.issn.2072-1439.2015.10.69

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

While many factors depend on successful implantation and outcome of left ventricular assist devices (LVAD), echocardiography remains an integral part and is vital to the success of this process. Transesophageal echocardiography (TEE) allows interrogation of all the cardiac structures and great vessels. The pre-implantation TEE exam establishes a baseline and may identify potential problems that need palliation. Among these, most significant are aortic insufficiency (AI), intracardiac thrombi, poor right ventricular (RV) function, and intracardiac shunts. The post-implantation exam allows for adequate de-airing of the heart and successful LVAD initiation. The position and flow profiles of the inflow and outflow cannulas of the LVAD may be assessed. Finally, it assists in the astute management and vigilant identification and correction of a number of complications in the immediate post-implantation period. TEE will continue to remain vital to the successful outcomes LVAD patients.

引用

页码：2139 / 2150

页数：12

共 33 条

[1] Contrast Echocardiography for Assessment of Left Ventricular Thrombi [J].