Mechanical Circulatory Support

Principles and Applications

Second Edition

David L. Joyce,MD and Lyle D. Joyce,MD, PhD

Analyzes the management of the unique adverse events encountered with movement disorders
Includes device-specific management considerations for all kinds of circulatory support technologies
Answers questions about the differences between devices and how to manage them

New Edition

Mechanical Circulatory Support

Principles and Applications

Second Edition

David L. Joyce,MD and Lyle D. Joyce,MD, PhD

Description

Mechanical Circulatory Support: Principles and Applications offers innovative approaches to complex clinical scenarios and represents the current state-of-the-art for managing patients on mechanical circulatory support devices. Topics are presented in a concise fashion, making it a practical resource for care givers who need a user's manual in the heat of the moment during patient care as well as a reference for a better understanding of the unique components of every device available for human use.

This book provides a comprehensive, up-to-date analysis of the most relevant issues facing health care providers in the management of advanced heart failure. With content that features patient selection strategies, implantation techniques, device specific considerations, and management of clinical challenges in the post-operative setting, this textbook offers evidence-based answers to the complex questions facing nurses, perfusionists, advanced practice providers, and physicians.

New Edition

Mechanical Circulatory Support

Principles and Applications

Second Edition

David L. Joyce,MD and Lyle D. Joyce,MD, PhD

Preface
1. Introduction and Historical Context
2. Indications for MCS therapy
3. The Role for Frailty Assessments
4. Palliative Care Evaluation
5. Psychosocial Considerations
6. VAD backup for Conventional Surgery
7. Pre-operative Optimization Strategies
8. Assessment of Pulmonary Hypertension
9. Pediatric Patient Selection
10. Overview of Available Devices
11. Abbott Heartmate II
12. Abbott Hearmate 3
13. Medtronic HVAD
14. Medtronic MVAD
15. Reliant Heart Assist 5
16. Syncardia Total Artificial Heart
17. Counterpulsation for Advanced CHF
18. Abiomed Impella
19. Tandem Life Tandemheart and Protek Duo
20. Abbott Short Term Support: PHP and Centrimag
21. Extracorporeal Continuous Membrane Oxygenation
22. Berlin Heart
23. Evaheart LVAD
24. Anesthesia Considerations
25. Perfusion Considerations
26. Transesophageal Echocardiography VAD-Single
27. Median Sternotomy Approach
28. LATERAL/Off Pump Approach
29. Concomitant Procedures
30. Pediatric Support Options
31. Critical Care Management
32. Anticoagulation Strategies
33. Acquired von Willebrand Syndrome
34. Gastrointestinal Bleeding
35. Pump Thrombosis
36. Driveline and Pocket Infections
37. Cerebrovascular Accidents
38. Right Ventricular Failure
39. Renal Failure/Dialysis Options
40. Arrhythmia/Ventricular Tachycardia Ablation
41. Aortic Regurgitation
42. Hemodynamics
43. CardioMEMS
44. Reverse Remodeling and Recovery
45. Physical Rehabilitation
46. Role of VAD Coordinator/Engineer

New Edition

Mechanical Circulatory Support

Principles and Applications

Second Edition

David L. Joyce,MD and Lyle D. Joyce,MD, PhD

Author Information

David L. Joyce, MD, Director of Cardiac Transplantation, Medical College of Wisconsin, and Lyle D. Joyce, MD, PhD, Prof, Froedtert & Medical College of Wisconsin

Lyle and David Joyce are a father/son team who currently practice adult cardiac surgery at Froedtert & the Medical College of Wisconsin in Milwaukee. They have a vast clinical experience in the surgical management of heart failure, including cardiac transplantation, durable and short-term ventricular assist support, and cardiac replacement strategies for biventricular failure. They have collectively contributed more than 200 original articles to the medical literature, the majority of which have focused on the complex challenges of patients who require mechanical circulatory support.

Contributors:

William Abraham, MD
Division of Cardiovascular Medicine
Ohio State University
Columbus, OH

Robert Adamson, MD
Cardiovascular and Thoracic Center
Sharp HealthCare
San Diego, CA

Devon O. Aganga, MD
Department of Pediatrics/Division of Critical Care Medicine and Department of Anesthesiology and Perioperative Medicine
Mayo Clinic
Rochester, MN

Mohit Agarwal, MD
Department of Internal Medicine, Division of Nephrology
Medical College of Wisconsin
Milwaukee, WI

Masahiko Ando, MD
Department of Surgery, Division of Cardiothoracic and Vascular Surgery
Columbia University
New York, NY

Shiva K. Annamalai, MD
The Molecular Cardiology Research Institute, The Acute Mechanical Circulatory Support Working Group, and The Cardiovascular Center
Tufts University
Boston, MA

Francisco A. Arabia, MD
Advanced Heart Programs
Banner Health/University of Arizona
Phoenix, AZ

Rabea Asleh, MD, PhD, MHA
Division of Cardiology
Johns Hopkins School of Medicine
Baltimore, MD

Timothy Baures, MD
Department of Medicine
Medical College of Wisconsin
Milwaukee, WI

J. Kyle Bohman, MD
Department of Anesthesiology and Perioperative Medicine
Mayo Clinic
Rochester, MN

Kevin Bourque, MSME
Research and Development
Abbott Laboratories
Burlington, MA

Christoph Brehm, MD
Heart and Vascular Institute
Penn State Health
Hershey, PA

Brittany Butzler, BNS, RN
Advanced Heart Failure
Froedtert & the Medical College of Wisconsin
Milwaukee, WI

Marisa Cevasco, MD
Department of Surgery, Division of Cardiothoracic and Vascular Surgery
Columbia University
New York, NY

Aditya Chennojwala, MS
The Molecular Cardiology Research Institute, The Acute Mechanical Circulatory Support Working Group, and The Cardiovascular Center
Tufts University
Boston, MA

Joshua S. Chung, MD
Smidt Heart Institute
Cedars Sinai
Los Angeles, CA

Walt Dembitsky, MD
Cardiovascular and Thoracic Center
Sharp HealthCare
San Diego, CA

Michael Dickinson, MD ,FACC, FHFSA
Advanced Heart Failure Clinic
Spectrum Health
Grand Rapids, MI

Shannon M. Dunlay, MD, MS
Department of Cardiovascular Medicine
Mayo Clinic
Rochester, MN

Lucian Durham, MD, PhD
Department of Surgery, Division of Cardiothoracic Surgery
Medical College of Wisconsin
Milwaukee, WI

David J. Farrar, PhD
Medical Affairs
Abbott Laboratories
Pleasanton, CA

Sina Foroutanjazi, BS
The Molecular Cardiology Research Institute, The Acute Mechanical Circulatory Support Working Group, and The Cardiovascular Center
Tufts University
Boston, MA

O. H. "Bud" Frazier, MD
Cardiovascular Surgery Research
Texas Heart Institute
Houston, TX

Nunzio A. Gaglianello, MD
Division of Cardiology, Department of Medicine
Medical College of Wisconsin
Milwaukee, WI

Noelle C. Garster, MD, MS
Division of Cardiology, Department of Medicine
Medical College of Wisconsin
Milwaukee, WI

Thomas Hanff, MD
Penn Heart and Vascular Center
University of Pennsylvania
Philadelphia, PA

Ofer Havakuk, MD
Department of Cardiology
Tel Aviv Medical Center
Tel Aviv, Israel

Nicholas Hiivala, BME
Medical Affairs
Medtronic
Boston, MA

David Ishizawar, MD
Divisions of Cardiology and Pulmonary Medicine, Department of Medicine
Medical College of Wisconsin
Milwaukee, WI

Milena Jani, MD
Advanced Heart Failure Clinic
Spectrum Health
Grand Rapids, MI

Valluvan Jeevanandam, MD
Department of Surgery, Cardiothoracic Surgery
University of Chicago
Chicago, IL

Ranjit John, MD
Division of Cardiothoracic Surgery
University of Minnesota
Minneapolis, MN

Jonathan N. Johnson, MD
Department of Pediatrics/Division of Pediatric Cardiology and Department of Cardiovascular Diseases
Mayo Clinic
Rochester, MN

Suraj Kapa, MD
Department of Cardiovascular Diseases
Mayo Clinic
Rochester, MN

Navin K. Kapur, MD
The Molecular Cardiology Research Institute, The Acute Mechanical Circulatory Support Working Group, and The Cardiovascular Center
Tufts University
Boston, MA

Samuel J. Karmiy, BS
The Molecular Cardiology Research Institute, The Acute Mechanical Circulatory Support Working Group, and The Cardiovascular Center
Tufts University
Boston, MA

Shivtej Kaushal, MD
Division of Cardiology, Department of Medicine
Medical College of Wisconsin
Milwaukee, WI

Krishna Keri, MD
Department of Internal Medicine, Division of Nephrology
Medical College of Wisconsin
Milwaukee, WI

Kristen Kiehl, BSBME
Advanced Heart Failure
Froedtert & the Medical College of Wisconsin
Milwaukee, WI

Michael E. Kiyatkin, MD
Department of Anesthesiology
Columbia University
New York, NY

Evan Klein, MD
Division of Cardiology, Department of Medicine
Medical College of Wisconsin
Milwaukee, WI

Lisa Baumann Kreuziger, MD
Department of Medicine, Division of Hematology and BloodCenter of Wisconsin, Blood Research Institute
Medical College of Wisconsin
Milwaukee, WI

Brent Lampert, MD
Division of Cardiovascular Medicine
Ohio State University
Columbus, OH

Steven Langford, BSEE
Research and Physician Support
SynCardia Systems Inc.
Tuscon, AZ

Craig Larson, DO
Cardiovascular and Thoracic Center
Sharp HealthCare
San Diego, CA

Karl Limmer, MD
Cardiovascular and Thoracic Center
Sharp HealthCare
San Diego, CA

Michael K. Loushin, MD
Department of Anesthesiology
Regions Hospital
Minneapolils, MN

Bryan E. Lynch, MBA
Reliant Heart
Houston, TX

Regina M. Mackey, MD
Department of Family Medicine, Center for Palliative Medicine
Mayo Clinic
Rochester, MN

Patrick Mazi, MD
Department of Medicine, Division of Infectious Diseases
Medical College of Wisconsin
Milwaukee, WI

Ed McGee, MD
Heart Transplantation and Mechanical Assistance
Loyola University
Maywood, IL

Carmelo A. Milano, MD
Division of Thoracic and Cardiovascular Surgery
Duke University
Durham, NC

Asim Mohammed, MD
Division of Cardiology, Department of Medicine
Medical College of Wisconsin
Milwaukee, WI

David L.S. Morales, MD
Division of Cardiothoracic Surgery
Cincinnati Children's Hospital
Cincinnati, OH

Tadashi Motomura, MD, PhD
Evaheart, Inc.
Houston, TX

Yoshifumi Naka, MD, PhD
Department of Surgery, Division of Cardiothoracic and Vascular Surgery
Columbia University
New York, NY

Nikhil Narang, MD
Section of Cardiology, Department of Medicine
University of Chicago
Chicago, IL

Scott D. Nei, Pharm D, RPh
Department of Pharmacy
Mayo Clinic
Rochester, MN

Renee L. Kursel O'Brien, MD
Cardiology/Cardiovascular Medicine
Medical College of Wisconsin
Milwaukee, WI

John B. O'Connell, MD
Department of Medical Affairs
Abbott Laboratories
Pleasanton, CA

Thomas Olson, MD
Cardiovascular Medicine
Mayo Clinic
Rochester, MN

Christopher J. Plambeck, MD
Department of Anesthesiology
Medical College of Wisconsin
Milwaukee, WI

Jenessa S. Price, PhD
Department of Surgery, Department of Psychiatry and Behavioral Medicine
Medical College of Wisconsin
Milwaukee, WI

J. Eduardo Rame, MD
Penn Heart and Vascular Center
University of Pennsylvania
Philadelphia, PA

Danny Ramzy, MD
Smidt Heart Institute
Cedars Sinai
Los Angeles, CA

Allen A. Razavi, MS
The Molecular Cardiology Research Institute, The Acute Mechanical Circulatory Support Working Group, and The Cardiovascular Center
Tufts University
Boston, MA

Kyle Riggs, MD
Division of Cardiothoracic Surgery
Cincinnati Children's Hospital
Cincinnati, OH

Jeffrey Riley, MHPE, CCP
CHP-Cardiovascular Perfusion
SUNY Upstate University
Syracuse, NY

Reza Salabat, MD
Department of Surgery, Cardiothoracic Surgery
University of Chicago
Chicago, IL

Mitchell T. Saltzberg, MD
Division of Cardiology, Department of Medicine
Medical College of Wisconsin
Milwaukee, WI

Joyce Sanchez, MD
Department of Medicine, Division of Infectious Diseases
Medical College of Wisconsin
Milwaukee, WI

Gabriel Sayer, MD
Section of Cardiology, Department of Medicine
University of Chicago
Chicago, IL

Gregory J. Schears, MD
Department of Anesthesiology and Perioperative Medicine
Mayo Clinic
Rochester, MN

Sarah Schettle, PA-C
Department of Cardiac Surgery
Mayo Clinic
Rochester, MN

Jacob Schroder, MD
Division of Thoracic and Cardiovascular Surgery
Duke University
Durham, NC

Phil Scott, CCP
Department of Cardiovascular Surgery
Mayo Clinic
Rochester, MN

Andrew W. Shaffer, MD, MS
Division of Cardiothoracic Surgery
University of Minnesota
Minneapolis, MN

Jacob J. Strand, MD
Department of Medicine, Center for Palliative Medicine
Mayo Clinic
Rochester, MN

Michael Sweeney, MD
Department of Anesthesiology
University of Minnesota
Minneapolis, MN

Koji Takeda, MD
Department of Surgery, Division of Cardiothoracic and Vascular Surgery
Columbia University
New York, NY

Yan Topilsky, MD
Department of Cardiology
Tel Aviv Medical Center
Tel Aviv, Israel

Nir Uriel, MD, MSc
Section of Cardiology, Department of Medicine
University of Chicago
Chicago, IL

Charlotte S. Van Dorn, MD
Department of Pediatrics/Divisions of Critical Care Medicine and Pediatric Cardiology
Mayo Clinic
Rochester, MN

Erik Van Iterson, MD
Preventive Cardiology and Rehabilitation
Cleveland Clinic
Cleveland, OH

Thomas A. Vassiliades, MD, MBA
Medical Affairs
Medtronic
Boston, MA

Joyce Wald, MD
Penn Heart and Vascular Center
University of Pennsylvania
Philadelphia, PA

Stephen Wilkinson, MD
Advanced Heart Failure Clinic
Spectrum Health
Grand Rapids, MI

Joshua Z. Willey, MD
Department of Neurology
Columbia University
New York, NY

Samuel Windham, MD
Department of Medicine
Medical College of Wisconsin
Milwaukee, WI

Stephanie Zanowski, MD
Department of Surgery, Department of Psychiatry and Behavioral Medicine
Medical College of Wisconsin
Milwaukee, WI