Challenges and Future Directions in Left Ventricular Assist Device Therapy

被引：12

作者：

Kanwar, Manreet K. ^{[1
]}

Bailey, Stephen ^{[2
]}

Murali, Srinivas ^{[2
]}

机构：

[1] Temple Univ, Sch Med, Sect Heart Failure Transplant MCS & Pulm Hyperten, Cardiovasc Inst,Allegheny Hlth Network, 320 East North Ave,16th Floor ST, Pittsburgh, PA 15212 USA

[2] Allegheny Hlth Network, Cardiovasc Inst, Dept Cardiothorac Surg, 320 East North Ave, Pittsburgh, PA 15212 USA

来源：

CRITICAL CARE CLINICS | 2018年 / 34卷 / 03期

关键词：

Left ventricular assist device; Future challenges; End-stage heart failure; Mechanical circulatory support; ADVANCED HEART-FAILURE; MECHANICAL CIRCULATORY SUPPORT; INTERMACS ANNUAL-REPORT; II RISK SCORE; CONTINUOUS-FLOW; CLINICAL-OUTCOMES; IMPLANTATION; TRANSPLANTATION; PUMP; PREDICTION;

D O I：

10.1016/j.ccc.2018.03.010

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The clinical use of left ventricular assist devices (LVADs) in the growing epidemic of heart failure has improved quality of life and long-term survival for this otherwise devastating disease. The current generation of commercially available devices offers a smaller profile that simplifies surgical implantation, a design that optimizes blood flow characteristics, with less adverse events and improved durability than their predecessors. Despite this, the risk for adverse events remains significant, as do burdens for patients and their caregivers. Appropriate patient selection remains key to optimal LVAD outcomes.

引用

页码：479 / +

页数：15

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