The increasing importance of percutaneous mechanical circulatory assist device therapy in heart failure management

Ricardo A. Weis, Patrick A. Devaleria, Sarang Koushik, Harish Ramakrishna

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: Advances in medical and surgical care have made it possible for an increasing number of patients with Congenital Heart disease (CHD) to live into adulthood. Transposition of the great vessels (TGV) is the most common cyanotic congenital cardiac disease where the right ventricle serves as systemic ventricle. It is not uncommon for these patients to have systemic ventricular failure requiring transplantation. Study Design: Hemodynamic decompensation in these patients can be swift and difficult to manage. Increasingly percutaneous LVAD's such as the Impella (Abiomed, Mass, USA) are gaining popularity in these situations owing to their relative ease of placement, both in and outside of the operating room. Conclusion: In this paper we demonstrate that Impella (IMP) CP placement through the axillary artery approach shows to be suitable option for short term cardiac support and improvement of end organ perfusion in anticipation of cardiac transplantation.

Original languageEnglish (US)
Pages (from-to)467-473
Number of pages7
JournalAnnals of Cardiac Anaesthesia
Volume18
Issue number4
DOIs
StatePublished - Oct 1 2015

Fingerprint

Heart Failure
Equipment and Supplies
Heart Diseases
Axillary Artery
Transposition of Great Vessels
Operating Rooms
Heart Transplantation
Heart Ventricles
Therapeutics
Perfusion
Transplantation
Hemodynamics

Keywords

  • Congenital heart disease
  • Hemodynamic decompensation
  • Impella
  • Percutaneous left ventricular assist device's
  • Transposition of the great vessels

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

The increasing importance of percutaneous mechanical circulatory assist device therapy in heart failure management. / Weis, Ricardo A.; Devaleria, Patrick A.; Koushik, Sarang; Ramakrishna, Harish.

In: Annals of Cardiac Anaesthesia, Vol. 18, No. 4, 01.10.2015, p. 467-473.

Research output: Contribution to journalArticle

@article{b648088af92a4c99a3b1b23c4bb8221f,
title = "The increasing importance of percutaneous mechanical circulatory assist device therapy in heart failure management",
abstract = "Introduction: Advances in medical and surgical care have made it possible for an increasing number of patients with Congenital Heart disease (CHD) to live into adulthood. Transposition of the great vessels (TGV) is the most common cyanotic congenital cardiac disease where the right ventricle serves as systemic ventricle. It is not uncommon for these patients to have systemic ventricular failure requiring transplantation. Study Design: Hemodynamic decompensation in these patients can be swift and difficult to manage. Increasingly percutaneous LVAD's such as the Impella (Abiomed, Mass, USA) are gaining popularity in these situations owing to their relative ease of placement, both in and outside of the operating room. Conclusion: In this paper we demonstrate that Impella (IMP) CP placement through the axillary artery approach shows to be suitable option for short term cardiac support and improvement of end organ perfusion in anticipation of cardiac transplantation.",
keywords = "Congenital heart disease, Hemodynamic decompensation, Impella, Percutaneous left ventricular assist device's, Transposition of the great vessels",
author = "Weis, {Ricardo A.} and Devaleria, {Patrick A.} and Sarang Koushik and Harish Ramakrishna",
year = "2015",
month = "10",
day = "1",
doi = "10.4103/0971-9784.166441",
language = "English (US)",
volume = "18",
pages = "467--473",
journal = "Annals of Cardiac Anaesthesia",
issn = "0971-9784",
publisher = "Medknow Publications and Media Pvt. Ltd",
number = "4",

}

TY - JOUR

T1 - The increasing importance of percutaneous mechanical circulatory assist device therapy in heart failure management

AU - Weis, Ricardo A.

AU - Devaleria, Patrick A.

AU - Koushik, Sarang

AU - Ramakrishna, Harish

PY - 2015/10/1

Y1 - 2015/10/1

N2 - Introduction: Advances in medical and surgical care have made it possible for an increasing number of patients with Congenital Heart disease (CHD) to live into adulthood. Transposition of the great vessels (TGV) is the most common cyanotic congenital cardiac disease where the right ventricle serves as systemic ventricle. It is not uncommon for these patients to have systemic ventricular failure requiring transplantation. Study Design: Hemodynamic decompensation in these patients can be swift and difficult to manage. Increasingly percutaneous LVAD's such as the Impella (Abiomed, Mass, USA) are gaining popularity in these situations owing to their relative ease of placement, both in and outside of the operating room. Conclusion: In this paper we demonstrate that Impella (IMP) CP placement through the axillary artery approach shows to be suitable option for short term cardiac support and improvement of end organ perfusion in anticipation of cardiac transplantation.

AB - Introduction: Advances in medical and surgical care have made it possible for an increasing number of patients with Congenital Heart disease (CHD) to live into adulthood. Transposition of the great vessels (TGV) is the most common cyanotic congenital cardiac disease where the right ventricle serves as systemic ventricle. It is not uncommon for these patients to have systemic ventricular failure requiring transplantation. Study Design: Hemodynamic decompensation in these patients can be swift and difficult to manage. Increasingly percutaneous LVAD's such as the Impella (Abiomed, Mass, USA) are gaining popularity in these situations owing to their relative ease of placement, both in and outside of the operating room. Conclusion: In this paper we demonstrate that Impella (IMP) CP placement through the axillary artery approach shows to be suitable option for short term cardiac support and improvement of end organ perfusion in anticipation of cardiac transplantation.

KW - Congenital heart disease

KW - Hemodynamic decompensation

KW - Impella

KW - Percutaneous left ventricular assist device's

KW - Transposition of the great vessels

UR - http://www.scopus.com/inward/record.url?scp=84944751866&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944751866&partnerID=8YFLogxK

U2 - 10.4103/0971-9784.166441

DO - 10.4103/0971-9784.166441

M3 - Article

C2 - 26440230

AN - SCOPUS:84944751866

VL - 18

SP - 467

EP - 473

JO - Annals of Cardiac Anaesthesia

JF - Annals of Cardiac Anaesthesia

SN - 0971-9784

IS - 4

ER -