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[Technical possibilities and limitations of mechanical circulatory support]. 2011
Thomas Krabatsch, and
Martin Schweiger, and
Alexander Stepanenko, and
Thorsten Drews, and
Evgenij Potapov, and
Juliane Vierecke, and
Beate Jurmann, and
Miralem Pasic, and
Yu-Guo Weng, and
Michael Huebler, and
Roland Hetzer
Klinik für Herz- Thorax- und Gefäßchirurgie, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin.
Ventricular assist devices (VAD) to support the left (LVAD), the right (RVAD) or both ventricles (BVAD) have emerged as one standard of care for advanced heart failure patients. Initially used to bridge patients to transplantation (BTT) they are now more frequently implanted as permanent support (destination therapy, DT). Bridge to recovery (BTR) is a valid option for only a small number of patients. Although there are different devices available, patient selection, preoperative and intraoperative management, and the timing of VAD implantation are the elements critical to successful circulatory support.
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