Haemodynamic management of patients with left ventricular assist devices using echocardiography: the essentials

被引:25
作者
Bouchez, Stefaan [1 ]
Van Belleghem, Yves [2 ]
De Somer, Filip [2 ]
De Pauw, Michel [3 ]
Stroobandt, Roland [3 ]
Wouters, Patrick [1 ]
机构
[1] Ghent Univ Hosp, Dept Anaesthesiol, Corneel Heymanslaan 10, B-9000 Ghent, Belgium
[2] Ghent Univ Hosp, Dept Cardiac Surg, Corneel Heymanslaan 10, B-9000 Ghent, Belgium
[3] Ghent Univ Hosp, Dept Cardiol, Corneel Heymanslaan 10, B-9000 Ghent, Belgium
关键词
ventricular assist device; mechanical circulatory support; echocardiography; TRICUSPID-VALVE REPAIR; AORTIC-INSUFFICIENCY; DIAMETER RATIO; HEART-FAILURE; REGURGITATION; IMPLANTATION; PACEMAKER; OUTCOMES; THERAPY; IMPACT;
D O I
10.1093/ehjci/jez003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Mechanical circulatory support with continuous-flow left ventricular assist devices (LVADs) has emerged as a viable treatment modality for patients with advanced heart failure. LVAD support results in unique haemodynamic and echocardiographic alterations that must be understood to provide optimal care for these patients. In this review, we propose essential echocardiographic and haemodynamic elements for the assessment of optimal LVAD function based on the literature and the use of simulation software. A key element of LVAD physiology remains the interaction between an unloaded left ventricle and a loaded right ventricle. The echocardiographic assessment and treatment of the pathophysiology of the right-sided part of the heart remains critical to maintaining optimal LVAD support.
引用
收藏
页码:373 / 382
页数:10
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