Mechanical Circulatory Support

Lyle and David Joyce are a father/son team who currently practice adult cardiac surgery at Froedtert & the Medical College of Wisconsin in Milwaukee. They have a vast clinical experience in the surgical management of heart failure, including cardiac transplantation, durable and short-term ventricular assist support, and cardiac replacement strategies for biventricular failure. They have collectively contributed more than 200 original articles to the medical literature, the majority of which have focused on the complex challenges of patients who require mechanical circulatory support.

• Preface1. Introduction and Historical Context 2. Indications for MCS therapy 3. The Role for Frailty Assessments 4. Palliative Care Evaluation 5. Psychosocial Considerations 6. VAD backup for Conventional Surgery 7. Pre-operative Optimization Strategies 8. Assessment of Pulmonary Hypertension 9. Pediatric Patient Selection 10. Overview of Available Devices 11. Abbott Heartmate II 12. Abbott Hearmate 3 13. Medtronic HVAD 14. Medtronic MVAD 15. Reliant Heart Assist 5 16. Syncardia Total Artificial Heart 17. Counterpulsation for Advanced CHF 18. Abiomed Impella 19. Tandem Life Tandemheart and Protek Duo 20. Abbott Short Term Support: PHP and Centrimag 21. Extracorporeal Continuous Membrane Oxygenation 22. Berlin Heart 23. Evaheart LVAD 24. Anesthesia Considerations 25. Perfusion Considerations 26. Transesophageal Echocardiography VAD-Single 27. Median Sternotomy Approach 28. LATERAL/Off Pump Approach 29. Concomitant Procedures 30. Pediatric Support Options 31. Critical Care Management 32. Anticoagulation Strategies 33. Acquired von Willebrand Syndrome 34. Gastrointestinal Bleeding 35. Pump Thrombosis 36. Driveline and Pocket Infections 37. Cerebrovascular Accidents 38. Right Ventricular Failure 39. Renal Failure/Dialysis Options 40. Arrhythmia/Ventricular Tachycardia Ablation 41. Aortic Regurgitation 42. Hemodynamics 43. CardioMEMS 44. Reverse Remodeling and Recovery 45. Physical Rehabilitation46. Role of VAD Coordinator/Engineer