• Ann Card Anaesth · Oct 2013

    Review

    Management issues during HeartWare left ventricular assist device implantation and the role of transesophageal echocardiography.

    • Sanjay Orathi Patangi, Anthony George, Henning Pauli, Denis O'Leary, Chandrika Roysam, Tanveer Butt, Stephan Schueler, Mahesh Prabhu, and Guy MacGowan.
    • Department of Cardiothoracic Anaesthesia, Freeman Hospital, High Heaton, Newcastle Upon Tyne, NE7 7DN, United Kingdom.
    • Ann Card Anaesth. 2013 Oct 1;16(4):259-67.

    AbstractLeft ventricular assist devices (LVAD) are increasingly used for mechanical circulatory support of patients with severe heart failure, primarily as a bridge to heart transplantation. Transesophageal echocardiography (TEE) plays a major role in the clinical decision making during insertion of the devices and in the post-operative management of these patients. The detection of structural and device-related mechanical abnormalities is critical for optimal functioning of assist device. In this review article, we describe the usefulness of TEE for optimal perioperative management of patients presenting for HeartWare LVAD insertion.

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