Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-m9kch Total loading time: 0 Render date: 2024-05-28T20:23:14.129Z Has data issue: false hasContentIssue false

Chapter 9 - Mechanical circulatory support

Published online by Cambridge University Press:  15 December 2009

Sunit Ghosh
Affiliation:
Papworth Hospital, Cambridge
Florian Falter
Affiliation:
Papworth Hospital, Cambridge
David J. Cook
Affiliation:
Mayo Clinic, Minnesota
Get access

Summary

This chapter focuses on two of the options: the intra-aortic balloon pump (IABP) and ventricular assist devices (VADs). The decision of whether to proceed to mechanical circulatory support (MCS) depends on the aetiology of the heart failure and on the likely long-term treatment strategy. Which method of MCS is deployed depends on the acuteness of onset of heart failure, its potential reversibility, its severity and the anticipated duration of support required. VADs can be used to augment perfusion and relieve congestion, potentially reversing the damaging effects of severe heart failure. A left ventricular assist device (LVAD) withdraws oxygenated blood from the left atrium or left ventricle, and returns it to the aorta; a right ventricular assist device (RVAD) draws venous blood from the right atrium, and returns it to the pulmonary artery. The VAD implant procedure should be covered by broad-spectrum prophylactic antibiotics and antifungal agents.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×