Biventricular mechanical support devices--clinical perspectives.
Expert Rev Med Devices
; 13(4): 353-65, 2016.
Article
in En
| MEDLINE
| ID: mdl-26894825
ABSTRACT
Cardiac transplantation remains the optimal treatment for end stage heart failure in selected patients. However, the shortage of donor hearts, rigorous eligibility criteria and long waiting lists have increased the demand for alternative treatment strategies such as mechanical circulatory support. While many patients are adequately supported with left ventricular assist devices, frequently there is right heart failure or involvement of the right ventricle, requiring biventricular support. Pulsatile flow biventricular devices and total artificial hearts approved for temporary biventricular support have limitations including size, high rates of adverse events and restricted mobility which makes them unsuitable for long term support. A number of centres have reported dual continuous flow left ventricular assist devices as a means of supporting the left and right heart. This review will summarise the literature on the outcomes and complications from current biventricular support devices and assess the role of dual continuous flow VAD therapy, and the new continuous flow total heart replacement devices.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pulsatile Flow
/
Heart-Assist Devices
/
Heart Ventricles
Limits:
Humans
Language:
En
Journal:
Expert Rev Med Devices
Journal subject:
DIAGNOSTICO POR IMAGEM
/
TERAPEUTICA
Year:
2016
Document type:
Article
Affiliation country:
Australia