Global best practices consensus: Long-term management of patients with hybrid centrifugal flow left ventricular assist device support.

Global best practices consensus: Long-term management of patients with hybrid centrifugal flow left ventricular assist device support. - 2022

Available online from MWHC library: 1994 - present, Available in print through MWHC library: 1999 - 2006

CONCLUSIONS: With decreasing worldwide experience in the ongoing management of HVAD-supported patients, this consensus guideline provides a summary of best practice techniques from international centers. Differences in HeartMate 3 management are highlighted. Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved. METHODS: International experts with experience in the management of patients with ongoing HVAD support were invited to summarize key aspects of patient and pump management and highlight differences in the current HeartMate 3 (Abbott Laboratories) ventricular assist device. Clinicians from high-implanting HVAD sites reviewed current literature and reported experience to generate a consensus statement. OBJECTIVES: Six months after withdrawal of the HeartWare HVAD System (HVAD; Medtronic) from sale, approximately 4000 patients continue ongoing support with this device. In light of the diminishing experience, this global consensus document summarizes key management recommendations. RESULTS: Specific guidelines to assist in the management of ongoing HVAD patients are developed. Key management protocols and helpful techniques developed from experienced clinicians are combined into a short guideline document. As experience with HeartMate 3 increases, key differences in approach to management are highlighted, where appropriate.


English

0022-5223

10.1016/j.jtcvs.2022.03.035 [doi] S0022-5223(22)00407-X [pii]


IN PROCESS -- NOT YET INDEXED


MedStar Heart and Vascular Institute, Baltimore


Journal Article

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