A Comprehensive Imaging Approach to Guide the Management of Patients with Continuous-Flow Left Ventricular Assist Devices - 07/10/18

Doi : 10.1016/j.ccl.2018.06.010

Bashar Hannawi, MD ^a, Jerry D. Estep, MD ^b,^c,^⁎
^a Department of Cardiology, Houston Methodist Hospital, 6550 Fannin Street, Suite 18-209, Houston, TX 77030, USA
^b Department of Cardiovascular Medicine, Cleveland Clinic, 9500 Euclid Avenue, Desk J3-4, Cleveland, OH 44195, USA
^c Heart and Vascular Institute, Kaufman Center for Heart Failure, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA

^∗Corresponding author. Department of Cardiovascular Medicine, Cleveland Clinic, 9500 Euclid Avenue, Desk J3-4, Cleveland, OH 44195.Department of Cardiovascular MedicineCleveland Clinic9500 Euclid AvenueDesk J3-4ClevelandOH44195

Résumé

Recent advances in mechanical circulatory support have allowed patients with end-stage heart failure to be successfully bridged to heart transplantation or live for many years on continuous-flow left ventricular assist devices (CF-LVADs) as destination therapy. As survival and quality of life continue to improve and the number of patients supported by CF-LVADs continues to grow, utilization of different imaging modalities in the care for these patients has become an integral part of many heart failure centers. We review currently available imaging modalities, with a focus on echocardiography, that aid to diagnose and manage common adverse events associated with CF-LVADs.

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Keywords : Left ventricular assist device, Multimodality imaging, Computed tomography, Echocardiography