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Updated: Jul 12, 2026
08:49
Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
Published on: May 11, 2018
Current status of mechanical circulatory assistance
1Mount Sinai School of Medicine, New York, New York 10029-6574, USA. marc.stone@mountsinai.org
Seminars in Cardiothoracic and Vascular Anesthesia
|August 23, 2007
Summary
Mechanical circulatory support devices manage ventricular failure. This review covers device use, perioperative care, anesthetic considerations, and future continuous flow technologies for improved patient outcomes.
Area of Science:
- Cardiology
- Medical Devices
- Anesthesiology
Background:
- Mechanical circulatory support (MCS) is vital for acute and chronic ventricular failure.
- Current MCS devices offer solutions but have specific indications, contraindications, and complications.
- Advancements in MCS are crucial for managing end-stage heart failure.
Purpose of the Study:
- To review the current landscape of mechanical circulatory support devices.
- To discuss perioperative and anesthetic considerations for ventricular assist device (VAD) implantation and management.
- To explore the future of continuous flow devices in clinical trials.
Main Methods:
- Literature review of current mechanical circulatory support strategies.
- Discussion of clinical decision-making for univentricular vs. biventricular support.
- Analysis of anesthetic management and transesophageal echocardiography in VAD patients.
Main Results:
- MCS is a key strategy for ventricular failure, with available devices having defined use parameters.
- Perioperative care requires careful consideration of device type, anesthetic choices, and monitoring.
- Anesthetic management for VAD patients undergoing noncardiac surgery presents unique challenges.
Conclusions:
- Mechanical circulatory support is an evolving field with significant implications for patient care.
- Understanding VADs, perioperative management, and anesthetic nuances is critical for successful outcomes.
- Next-generation continuous flow devices show promise for future therapeutic options.
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