Open AccessManagement issues during HeartWare left ventricular assist device implantation and the role of transesophageal echocardiography
Author(s) -
Sanjay Orathi Patangi,
Anthony George,
Henning Pauli,
Denis O'Leary,
Chandrika Roysam,
Tanveer Butt,
Stephan Schueler,
Mahesh Prabhu,
Guy A. MacGowan
Publication year - 2013
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/0971-9784.119173
Subject(s) - medicine , ventricular assist device , heart failure , cardiology , perioperative , destination therapy , bridge to transplantation , circulatory system , heart transplantation , bridge (graph theory) , transplantation , intensive care medicine , surgery
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.