• J. Cardiothorac. Vasc. Anesth. · May 2021

    Case Reports

    Echocardiographic Assessment of Left Ventricular Assist Device Outflow Velocity During Percutaneous Decommissioning.

    • Xianying Liu, Carey Kimmelstiel, Gregory S Couper, and Ethan Y Brovman.
    • Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Boston, MA.
    • J. Cardiothorac. Vasc. Anesth. 2021 May 1; 35 (5): 1534-1538.

    AbstractLeft 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 provided critical, real-time perioperative evaluation. The authors also review the current perspectives on LVAD decommissioning in terms of patient selection and surgical techniques.Copyright © 2021 Elsevier Inc. All rights reserved.

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