Left ventricular assist device management and complications

Edo Y. Birati, J. Eduardo Rame

Research output: Contribution to journalReview articlepeer-review

34 Scopus citations

Abstract

Patients on long-term left ventricular assist device (LVAD) support present unique challenges in the intensive care unit. It is crucial to know the status of end-organ perfusion, which may require invasive hemodynamic monitoring with a systemic arterial and pulmonary artery catheter. Depending on the indication for LVAD support (bridge to decision or cardiac transplantation vs destination therapy), it is important to readdress goals of care with the patient (if possible) and their family after major events have occurred that challenge the survival of the patient.

Original languageEnglish
Pages (from-to)607-627
Number of pages21
JournalCritical Care Clinics
Volume30
Issue number3
DOIs
StatePublished - Jul 2014
Externally publishedYes

Keywords

  • Complications
  • Heart failure
  • Left ventricular assist device
  • Post-LVAD

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