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E-book

Title Mechanical support for heart failure : current solutions and new technologies / Jamshid H. Karimov, Kiyotaka Fukamachi, Randall C. Starling, editors
Published Cham, Switzerland : Springer, 2020

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Description 1 online resource
Contents Intro -- Foreword -- Foreword -- Preface -- Contents -- Contributors -- Part I: Overview of the Mechanical Circulatory Support -- 1: A History of Mechanical Circulatory Support -- The Possibility of Mechanical Circulatory Support Revealed -- The US Artificial Heart Program as Key Catalyst -- Early Assist Devices: 1960s-1970s -- Early Total Artificial Hearts: 1950s-1960s -- The Goal of Permanent Replacement: TAHs -- Wider Clinical Uptake: VADs -- Conclusion -- References -- 2: A Personalized History of Rotary Blood Pumps -- Epiphany -- The Secret of my Success: Serendipity
The Beginning of the Journey -- Happy Chance -- First Human Implantation of a Rotary Blood Pump: A Moment in History [13] -- Patient Selection -- Case Report -- CorAide LVAD -- HeatWare HVAD -- Complete Magnetic Suspension -- The Future -- Stroke -- Percutaneous Site Infection -- Pump Intelligence -- Lessons Learned -- References -- 3: History of Pediatric Devices for Mechanical Circulatory Support -- Introduction -- Early History Leading to the Need for Pediatric Mechanical Circulatory Devices -- Key Events Leading Up to Pediatric ECMO -- Evolution of Pediatric Ventricular Assist Devices
Conclusions -- References -- 4: Overview of Mechanical Circulatory Support Devices and Concepts -- Introduction -- The Intra-aortic Balloon Pump (IABP) -- The Impella Pump -- TandemHeart -- Extracorporeal Membrane Oxygenation (ECMO) -- HeartMate III -- References -- 5: Physiology of Blood Pump Circulation in Heart Failure -- Introduction -- Types of Ventricular Assist Device -- Continuous-Flow Left Ventricular Assist Device (cf-LVAD) Hemodynamics -- Pressure-Flow Relationship (HQ Curve) -- Impact of LVAD Pumping on Ventricular Mechanics and Energetics -- Physiology of Myocardial Energetics
LVAD Impact on Ventricular Mechanics -- Impact of Blood Inertia on the Instantaneous Pressure-Flow Relationship -- Pump Power and Flow Relationship -- Artificial Flow Pulsatility -- Impact of RPMs on LVAD Flow and Total Flow to the Body -- Ramp Test -- HeartMate II Echocardiographic Ramp Test -- HVAD Echocardiographic Ramp Test -- Impact of RPM on Left Ventricle -- Impact of RPM on Total Body Flow -- Defining and Quantifying Ventricular Unloading -- Impact of RPM on CVP and PCWP -- Special Considerations -- RV Failure with LVAD -- Pulmonary Hypertension -- Clinical LVAD Physiology -- Hypertension
VAD-Exercise Physiology -- Hemodynamic Factors Affecting VAD Flow During Exercise -- Chronotropic Incompetence and Preload -- Effect of Pump Speed Adjustment During Exercise -- Summary -- References -- 6: Engineering Requirements for Mechanical Circulatory Support Devices -- Introduction -- Engineering MCS Devices -- Differing MCS Designs and Their Corresponding Engineering Requirements -- Risk Analysis to Engineer MCS Devices -- Disclaimer -- References -- 7: Clinical Requirements for Mechanical Circulatory Support Devices -- Introduction -- Long-Term MCS and End-Stage Heart Failure
Summary This book provides a comprehensive overview of mechanical circulatory support of the failing heart in adults and children. The book uniquely combines engineering knowledge and the clinicians perspective into a single resource, while also providing insights into current and future development of mechanical circulatory support technology, such as ventricular assist devices, the total artificial heart and catheter-based technologies for heart failure. Topics featured in this book include: The history of mechanical circulatory device development. Fundamentals of hemodynamics support. Clinical management of mechanical circulatory devices. Surgical implantation techniques. Current limitations of device therapies in advanced heart failure. Advanced and novel devices in the development pipeline. Opportunities for advancement in the field. Mechanical Support for Heart Failure: Current Solutions and New Technologies is a must-have resource for not only physicians, residents, fellows, and medical students in cardiology and cardiac surgery, but also clinical and basic researchers in biomedical engineering with an interest in mechanical circulatory support, heart failure, and new technological applications in medicine
Notes Includes index
Subject Heart failure -- Treatment
Blood -- Circulation, Artificial.
Cardiac pacing.
Cardiovascular system.
Cardiovascular System
Heart Failure
Heart Failure -- complications
Cardiothoracic surgery.
Biomedical engineering.
Cardiovascular medicine.
Medical -- Surgery -- Thoracic.
Medical -- Allied Health Services -- Medical Technology.
Medical -- Cardiology.
Blood -- Circulation, Artificial
Cardiac pacing
Heart failure -- Treatment
Genre/Form Electronic books
Form Electronic book
Author Karimov, Jamshid H
Fukamachi, Kiyotaka
Starling, Randall C., 1951-
ISBN 9783030478094
3030478092