Optimization of Left Ventricle Size After VAD Implantation Prevents Incidence of Cerebral Infarction

Stroke after ventricular assist device (VAD) implantation is a critical complication. Previous studies have noted the distance between the inflow cannula and the left ventricular (LV) septum, as well as an angulation of the inflow cannula from the apical axis, related to the incidence of stroke. In the early phase after VAD implantation, diuresis is caused by improved renal blood flow, furthermore, rapid volume reduction of LV greatly changes circulating plasma volume, resulting in increased stroke risk; however, little is known about an appropriate indicator for the prevention of this phenomenon.
Source: The Journal of Heart and Lung Transplantation - Category: Transplant Surgery Authors: Tags: (1142) Source Type: research