Cardiac Assist Devices / Edition 1

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Overview

In the last two decades, tremendous strides in the field of mechanical support have extended the lives of countless sufferers of congestive heart failure, who total close to 1% of the US population. This technology has saved the lives of patients with acute heart failure due to heart attacks, dilated cardiomyopathies and post-cardiotomy shock and sustained patients with end stage congestive heart failure until a precious donor organ has become available for transplantation. In an attempt to address the growing imbalance between demand and supply of donor hearts, and armed with great hope and excitement, investigators are now examining these devices as potential alternatives to cardiac transplantation.

This book describes in detail the historical evolution, current knowledge, and future trends in the field of mechanical circulatory support. It will be of greatest interest to cardiologists, circulatory physiologists, cardiac anaesthesiologists, critical care physicians, cardiac surgeons, and other healthcare professionals who are challenged daily with the care of patients with acute and chronic heart failure.

The book contains predominantly black-and-white illustrations, with some color illustrations.

Throughout history, the heart has captured the imagination of poets, artists, and scientists alike. The highest expression of this reverence is manifested by our desire to replicate this internal metronome, a feat that has been nearly accomplished by the miracles of modern medicine. This book describes in detail the historical evolution, current knowledge, and future directions in our quest to imitate this prodigious pump. In the last two decades tremendous strides in the field of mechanical support have extended the lives of countless sufferers of congestive heart failure, who total close to 1% of the US population. This technology has saved the lives of patients with acute heart failure due to heart attacks, dilated cardiomyopathies and post-cardiotomy shock and sustained patients with end-stage congestive heart failure until a precious donor organ has become available for transplantation. In an attempt to address the growing imbalance between demand and supply of donor hearts, and armed with great hope and excitement, investigators are now examining these devices as potential alternatives to cardiac transplantation. This book is organized into three main sections, encompassing 30 up-to-date chapters written by the leading authorities in the field. Part I presents an overview of the field of mechanical support, with emphasis placed on the perioperative management of patients requiring mechanical support. New and controversial issues like bridging to recovery, economic impact and immunobiology of assist devices are explored. Part II introduces the currently available devices, focusing on the individual characteristics of the most widely used extracorporeal and intracorporeal ventricular assist devices, including detailed illustrations, implantation techniques, device limitations, and results and outcomes. Part III explores the most promising devices and technologies currently undergoing preclinical evaluation, including the developer's descriptions and availability forecasts. This book will be of greatest interest to cardiologists, circulatory physiologists, cardiac anesthesiologists, critical care physicians, cardiac surgeons and other healthcare professionals who are challenged daily with the care of patients with acute and chronic heart failure.

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Editorial Reviews

Doody's Review Service
Reviewer: Jennifer S Lawton, M.D.(Washington University School of Medicine)
Description: This book is a very thorough and concise review of all cardiac assist devices. The content is exceptional in completeness: historical considerations and technical tips, a complete review of perioperative care and postoperative management, and a description of all available and future devices are all included.
Purpose: The editors strive to appeal to all healthcare workers and educate them on the practical aspects of cardiac assist devices. The book is very much needed and welcomed as a complete overview of this topic. The editors' objectives are clearly and concisely met.
Audience: The editors and contributors are clearly experts in this field. The book is targeted to cardiothoracic surgeons, but it will appeal to all members of the healthcare team. Chapters on outpatient therapy, rehab, quality of life, and economic considerations are included. This book also may serve as a complete reference to surgeons in training.
Features: This book is a complete reference for the healthcare provider caring for patients with cardiac assist devices. The chapters are concise, manageable, and loaded with the most vital information. Perioperative and postoperative management issues are carefully detailed. The chapter on device selection is particularly helpful to the healthcare professional who must choose the appropriate device. The chapters on quality of life, rehabilitation, and economic considerations are unique and interesting additions. The complicated care of these patients is outlined in a straightforward fashion in the chapters on physiology of ventricular interactions, perioperative right-sided circulatory failure, and vasodilatory hypotension. The summary tables in several of the chapters provide quick references. The drawings are highly educational and quite helpful, particularly for the healthcare worker not familiar with a particular device.
Assessment: The quality of this book is excellent. It is a complete reference on this interesting and constantly changing topic. The book is highly educational and an outstanding contribution to the field.
From the Publisher
"Five Stars......a very thorough and concise review of all cardiac assist devices. The content is exceptional in completeness...

"The quality of this book is excellent. It is a complete reference on this interesting and constantly changing topic. The book is highly educational and an outstanding contribution to the field."

Doody’s Review Service


"Cardiac Assist Devices
fills an important need by covering a fast-growing field in cardiac medicine and surgery."

Texas Heart Institute Journal


"Drs. Goldstein and Oz have put their names to a landmark book in the field of mechanical cardiac support. They have drawn 70 authors together, each well known in this field and each recognized for their contribution to this rapidly developing service. These authors represent the historical breadth and world’s experience of this fascinating subject...

—All those in the field will want access to it and because of its quality will want to own it.

—All those who wish to comment on this subject will be better informed by reading it.

—And those who just wish to be aware of what is going on in the arena of mechanical assistance of the failing heart will thoroughly enjoy the authoritative read."

Perfusion


"This book is invaluable to the practicing cardiac surgeon and cardiologists who deal with patients who may require cardiac support devices."

Current Surgery


"This book is an excellent reference for this highly specialized field of cardiology."

Pediatric Cardiology

Jennifer Lawton
This book is a very thorough and concise review of all cardiac assist devices. The content is exceptional in completeness: historical considerations and technical tips, a complete review of perioperative care and postoperative management, and a description of all available and future devices are all included. The editors strive to appeal to all healthcare workers and educate them on the practical aspects of cardiac assist devices. The book is very much needed and welcomed as a complete overview of this topic. The editors' objectives are clearly and concisely met. The editors and contributors are clearly experts in this field. The book is targeted to cardiothoracic surgeons, but it will appeal to all members of the healthcare team. Chapters on outpatient therapy, rehab, quality of life, and economic considerations are included. This book also may serve as a complete reference to surgeons in training. This book is a complete reference for the healthcare provider caring for patients with cardiac assist devices. The chapters are concise, manageable, and loaded with the most vital information. Perioperative and postoperative management issues are carefully detailed. The chapter on device selection is particularly helpful to the healthcare professional who must choose the appropriate device. The chapters on quality of life, rehabilitation, and economic considerations are unique and interesting additions. The complicated care of these patients is outlined in a straightforward fashion in the chapters on physiology of ventricular interactions, perioperative right-sided circulatory failure, and vasodilatory hypotension. The summary tables in several of the chapters provide quickreferences. The drawings are highly educational and quite helpful, particularly for the healthcare worker not familiar with a particular device. The quality of this book is excellent. It is a complete reference on this interesting and constantly changing topic. The book is highly educational and an outstanding contribution to the field.
Booknews
Intended for cardiologists, circulatory physiologists, critical care specialists, anesthesiologists, cardiac surgeons, and other health care professionals looking after patients with end-stage heart disease, this volume is organized into three main sections, encompassing 30 chapters. The first part presents an overview of the field of mechanical support, with emphasis on perioperative management of patients. New and controversial issues like bridging to recovery, economic impact, and immunobiology of assist devices are also explored. Devices that are currently available are presented, including extracorporeal and intracorporeal ventricular assist devices, with detailed illustrations, implantation techniques, device limitations, and results. Promising devices and technologies currently undergoing preclinical evaluation are also explored. Annotation c. Book News, Inc., Portland, OR (booknews.com)

5 Stars! from Doody
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Product Details

  • ISBN-13: 9780879934491
  • Publisher: Wiley
  • Publication date: 4/17/2000
  • Edition number: 1
  • Pages: 468
  • Product dimensions: 7.45 (w) x 10.32 (h) x 1.29 (d)

Table of Contents

Foreword.

Bill Frist, MD.

Part I: General Aspects of Mechanical Support.

1. Clinical Left Heart Assist Devices: A Historical Perspective.

O.H. Frazier, MD, John M. Fuqua, Jr., and David N. Helman, MD.

2. Physiology of Ventricular Interactions During Ventricular Assistance.

David J. Farrar, PhD.

3. Device Selection.

Benjamin C. Sun, MD.

4. Options for Mechanical Support in Pediatric Patients.

Tom R. Karl, MD and Stephen B. Horton, MD.

5. Anesthetic Considerations During Left Ventricular Assist Device Implantation.

Marc L. Dickstein, MD, Berend Mets, MB, ChB, FRCA, PhD, and Mark J.S. Heath, MD.

6. Perioperative Management of Bleeding.

Clifford H. Van Meter, Jr., MD.

7. Management of Perioperative Right-Sided Circulatory Failure.

Jonathan M. Chen, MD and Eric A. Rose, MD.

8. Perioperative Management of Arrhythmias in Recipients of Left Ventricular Assist Devices.

Matthew Williams, MD and James Coromilas, MD.

9. Management of Vasodilatory Hypotension after Left Ventricular Assist Device Placement.

Michael Argenziano, MD and Donald W. Landry, MD, PhD.

10. Left Ventricular Recovery During Left Ventricular Assist Device Support.

Johannes Mueller, MD and Roland Hetzer, MD.

11. Exercise Performance in Patients with Left Ventricular Assist Devices.

Donna Mancini, MD and Ainat Beniaminovitz, MD.

12. Outpatient Support.

Katherine A. Catanese, MSN and David L.S. Morales, MD.

13. Rehabilitation of the Ventricular Assist Device Recipient.

Theresa M. Morrone, MS, PT, C.C.S. and Lori A. Buck, MS, PT, C.C.S.

14. Quality of Life Issues Associated with the Use of Left Ventricular Assist Devices.

Peter A. Shapiro, MD.

15. Economic Considerations of LVAD Implantation.

Alan J. Moskowitz, MD, Deborah L. Williams, MPH, Anita Tierney, MPH, Ronald G. Levitan, BS, Joshua Zivin, PhD, and Annetine C. Gelijns, PhD.

16. Immunobiology of Left Ventricular Assist Devices.

Jan-Hendrik Ankersmit, MD and Silviu Itescu, MD.

.

Part II: Available Devices:.

A. Extracorporeal Devices.

17. Extracorporeal Support: Centrifugal Pumps.

Jack J. Curtis, MD and Colette Wagner-Mann, DVM, PhD.

18. Extracorporeal Support: The ABIOMED BVS 5000.

G. Kimble Jett, MD and Robert R. Lazzara, MD.

19. Extracorporeal Support: The Thoratec Device.

D. Glenn Pennington, MD, Timothy E. Oaks, MD, and Douglas P. Lohmann, M.Eng..

20. Extracorporeal Membrane Oxygenation in Adults.

Richard J. Kaplon, MD and Nicholas G. Smedira, MD.

21. Extracorporeal Support: The Berlin Heart.

Matthias Loebe, MD, PhD, Friedrich Kaufmann, and Roland Hetzer, MD, PhD.

.

Part II: Available Devices:.

B. Intracorporeal Devices.

22. Intracorporeal Support: The Intra-aortic Balloon Pump.

David N. Helman, MD and Gus J. Vlahakes, MD.

23. Intracorporeal Support: Thermo Cardiosystems Ventricular Assist.

Daniel J. Goldstein, MD.

24. Intracorporeal Support: Novacor Left Ventricular Assist System.

Naraynan Ramasamy, PhD, Rita L. Vargo, MSN, RN, Robert L. Kormos, MD, and Peer M. Portner, Phd.

25. Intracorporeal Support: Cardiowest Total Artificial Heart.

Jack Copeland, MD, Francisco Arabia, MD, Richard Smith, MSEE, and Paul Nolan, PhDPart III: Future Devices.

26. Axial Flow Pumps.

Joseph J. DeRose, Jr., MD and Robert K. Jarvik, MD.

27. The DeBakey Ventricular Assist Device.

George P. Noon, MD, Deborah Morley, PhD, Suellen Irwin, RN, and Michael E. DeBakey, MD.

28. Epicardial Compression Mechanical Devices.

John H. Artrip, MD and Daniel Burkhoff, MD, PhD.

29. The Pennsylvania State University Totally Implantable LVAD and Total Artificial Heart.

Sanjay M. Mehta, MD and Walter E. Pae, Jr., MD.

30. The HeartSaver VAD: A Fully Implantable VAD for Long-Term Support.

Tofy Mussivand, Paul J. Hendry, Roy G. Masters, and Wilbert J. Keon

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