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Management issues during HeartWare left ventricular assist device implantation and the role of transesophageal echocardiography


1 Department of Cardiothoracic Anaesthesia, Freeman Hospital, High Heaton, Newcastle Upon Tyne, NE7 7DN, United Kingdom
2 Department of Cardiothoracic Surgery, Freeman Hospital, High Heaton, Newcastle Upon Tyne, NE7 7DN, United Kingdom
3 Department of Cardiology, Freeman Hospital, High Heaton, Newcastle Upon Tyne, NE7 7DN, United Kingdom

Correspondence Address:
Anthony George
Freeman Hospital, Freeman Road, High Heaton, Newcastle Upon Tyne NE7 7DN
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.119173

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Year : 2013  |  Volume : 16  |  Issue : 4  |  Page : 259-267

 

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Left ventricular assist devices (LVAD) are increasingly used for mechanical circulatory support of patients with severe heart failure, primarily as a bridge to heart transplantation. Transesophageal echocardiography (TEE) plays a major role in the clinical decision making during insertion of the devices and in the post-operative management of these patients. The detection of structural and device-related mechanical abnormalities is critical for optimal functioning of assist device. In this review article, we describe the usefulness of TEE for optimal perioperative management of patients presenting for HeartWare LVAD insertion.






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1 Department of Cardiothoracic Anaesthesia, Freeman Hospital, High Heaton, Newcastle Upon Tyne, NE7 7DN, United Kingdom
2 Department of Cardiothoracic Surgery, Freeman Hospital, High Heaton, Newcastle Upon Tyne, NE7 7DN, United Kingdom
3 Department of Cardiology, Freeman Hospital, High Heaton, Newcastle Upon Tyne, NE7 7DN, United Kingdom

Correspondence Address:
Anthony George
Freeman Hospital, Freeman Road, High Heaton, Newcastle Upon Tyne NE7 7DN
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.119173

Rights and Permissions

Left ventricular assist devices (LVAD) are increasingly used for mechanical circulatory support of patients with severe heart failure, primarily as a bridge to heart transplantation. Transesophageal echocardiography (TEE) plays a major role in the clinical decision making during insertion of the devices and in the post-operative management of these patients. The detection of structural and device-related mechanical abnormalities is critical for optimal functioning of assist device. In this review article, we describe the usefulness of TEE for optimal perioperative management of patients presenting for HeartWare LVAD insertion.






[FULL TEXT] [PDF]*


        
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