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2019 EACTS Expert Consensus on long-term mechanical circulatory support.

Evgenij V Potapov1, Christiaan Antonides2, Maria G Crespo-Leiro3

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Summary
This summary is machine-generated.

Long-term mechanical circulatory support (LT-MCS) offers a vital treatment for severe heart failure. This expert opinion provides a multidisciplinary consensus on LT-MCS patient management, from selection to end-of-life care.

Keywords:
Expert consensusHeart failureLeft ventricular assist devicesMechanical circulatory support

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Area of Science:

  • Cardiology
  • Cardiothoracic Surgery
  • Mechanical Circulatory Support

Background:

  • Severe heart failure necessitates advanced treatments like long-term mechanical circulatory support (LT-MCS).
  • Existing literature on LT-MCS presents varied observations, necessitating expert consensus.
  • The European Association for Cardio-Thoracic Surgery (EACTS) identified the need for structured guidance in LT-MCS patient care.

Framework:

  • This document presents an expert opinion, not formal guidelines, due to insufficient evidence for EACTS-compliant guidelines.
  • It focuses on a multidisciplinary approach to LT-MCS management.
  • Expert opinions cover patient evaluation, optimization, comorbidity management, and implantation techniques.

Implementation:

  • Expert evaluation of operative implantation techniques based on patient and device specifics.
  • Comprehensive postoperative management strategies including ICU care, rehabilitation, and ambulatory follow-up.
  • Addressing myocardial recovery and end-of-life care considerations.

Implications:

  • Provides guidance for clinicians in optimizing the management of LT-MCS patients.
  • Aims to improve patient outcomes through expert-informed decision-making.
  • Highlights the importance of a multidisciplinary approach throughout the LT-MCS patient journey.