In:
The Heart Surgery Forum, Forum Multimedia Publishing LLC, Vol. 21, No. 5 ( 2018-10-01), p. E412-E414
Abstract:
Introduction: The planned use of a temporary right ventricular assist device (RVAD) at the time of left ventricular assist device (LVAD) implantation may prevent the need for a permanent biventricular assist device (BiVAD). Herein we describe our RVAD weaning protocol that was effectively employed in 4 patients to prevent the need for permanent BiVAD. Methods: Four patients in refractory cardiogenic shock underwent planned RVAD insertion during LVAD implantation due to severely depressed right ventricular function with dilation preoperatively. A standardized RVAD weaning protocol was employed in these 4 patients in preparation for decannulation. Results: Temporary RVADs were successfully placed in all 4 patients at the time of LVAD implantation. All patients survived to RVAD decannulation and discharge and were alive at the time of most recent follow-up (range, 528-742 days post–RVAD decannulation). Conclusion: Planned implantation of a temporary RVAD in high risk patients may avoid the need for biventricular mechanical support in the future.
Type of Medium:
Online Resource
ISSN:
1522-6662
,
1098-3511
Language:
Unknown
Publisher:
Forum Multimedia Publishing LLC
Publication Date:
2018
detail.hit.zdb_id:
2069230-4
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