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Implantable hemodynamic monitors: New hope or old hype?
Author(s) -
Parekh Dhaval R.,
Krajcer Zvonimir
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28747
Subject(s) - medicine , cardiology , pulmonary artery , hemodynamics , ambulatory , heart failure , pulsatile flow , ventricle , cohort , intensive care medicine
Key Points Ambulatory pulmonary artery monitoring with CardioMEMS device is technically feasible in a select cohort with complex congenital heart disease with heart failure. Despite non pulsatile flow in the single ventricle Fontan physiology, the device was accurately calibrated for pulmonary artery pressure transmissions. Despite the low overall complication rate, with only one device migration and no evidence of pulmonary thrombosis, larger and longer‐term studies are needed to establish long term feasibility and effectiveness in outpatient heart failure management in this cohort. Technical advances with new generation hemodynamic monitors will likely allow for direct left atrial pressure monitoring with direct real time communication to our portable devices.