Echocardiographic Assessment of Left Ventricular Assist Device outflow velocity during percutaneous decommissioning

Left ventricular assist devices (LVADs) have been used as an effective therapeutic option in patients with advanced heart failure, either as a bridge to transplantation, or in some patients, as a bridge to recovery. LVAD withdrawal with ventricular recovery represents the optimal outcome for patients previously implanted with an LVAD. In this E-Challenge, the authors present a case of percutaneous decommissioning of an LVAD, in which TEE provides critical, real-time evaluation perioperatively. We also review the current perspectives on LVAD decommissioning in terms of patient selection and surgical techniques.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Source Type: research