Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist

The introduction of left ventricular assist device (LVAD) has improved survival rates for patients with end-stage heart failure. Two categories of VADs exist: one generates pulsatile flow and the other produces nonpulsatile continuous flow. Survival is better for patients with continuous-flow LVADs....

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Bibliographic Details
Published in:Annals of cardiac anaesthesia 2018-10, Vol.21 (4), p.351-362
Main Authors: Hwang, Kai-Yin, Hwang, Nian-Chih
Format: Article
Language:English
Subjects:
Afterload
Anesthesiologists
Cardiac resynchronization therapy
Cardiomyopathy
Care and treatment
continuous-flow
FDA approval
Heart assist devices
Heart failure
Mortality
Multivariate analysis
nonpulsatile
Patients
Postoperative period
power consumption
Practice
preload
pulsatile
pump speed
Quality of life
Review
Thrombosis
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Summary:The introduction of left ventricular assist device (LVAD) has improved survival rates for patients with end-stage heart failure. Two categories of VADs exist: one generates pulsatile flow and the other produces nonpulsatile continuous flow. Survival is better for patients with continuous-flow LVADs. With improved survival, more of such patients now present for noncardiac surgery (NCS). This review, written for the general anesthesiologists, addresses the perioperative considerations when the patient undergoes NCS. For best outcomes, a multidisciplinary approach is essential in perioperative management of the patient.
ISSN:0971-9784
0974-5181
DOI:10.4103/aca.ACA_239_17