Current Cardiology Reports

, 16:468

The Practical Role of Echocardiography in Selection, Implantation, and Management of Patients Requiring LVAD Therapy

  • Maria Chiara Todaro
  • Bijoy K. Khandheria
  • Timothy E. Paterick
  • Matt M. Umland
  • Vinay Thohan
Echocardiography (RM Lang, Section Editor)

DOI: 10.1007/s11886-014-0468-5

Cite this article as:
Todaro, M.C., Khandheria, B.K., Paterick, T.E. et al. Curr Cardiol Rep (2014) 16: 468. doi:10.1007/s11886-014-0468-5
Part of the following topical collections:
  1. Topical Collection on Echocardiography

Abstract

Viable treatment options for advanced heart failure have not emerged as the number of people afflicted with this condition has grown. Although heart transplantation is the only curative strategy for patients with end-stage heart failure, the relative shortage of donors has led to a worldwide plateau of this option over the past 20 years. The result is an unacceptably high mortality rate among patients with advanced heart failure. Interest in developing alternative curative strategies based on chronic circulatory support, with the aim of prolonging and improving quality of life for these patients, has grown. Patients supported with left ventricular assist devices require structured longitudinal care from a team of providers. An integrated approach using basic echocardiography is critical to patient selection, implantation, and continued surveillance and success of patients with left ventricular assist devices.

Keywords

Left ventricular assist deviceHeart failureDoppler echocardiographyRight ventricular failure

Supplementary material

11886_2014_468_MOESM1_ESM.asf (1.1 mb)
Movie 1Color Doppler parasternal long-axis view at 9,400 rpm of a left ventricular assist device-supported patient demonstrating features of pump speeds that are too high: left ventricle (LV) completely decompressed, interventricular septum shifted toward the LV, aortic valve not opening, flow acceleration mid-LV cavity, and no or trace mitral regurgitation. (ASF 1141 kb)
11886_2014_468_MOESM2_ESM.asf (919 kb)
Movie 2Color Doppler apical 4-chamber view at 9,400 rpm of a left ventricular assist device-supported patient demonstrating features of pump speeds that are too high: left ventricle (LV) completely decompressed, interventricular septum shifted toward the LV, aortic valve not opening, flow acceleration mid-LV cavity, and no or trace mitral regurgitation. (ASF 919 kb)
11886_2014_468_MOESM3_ESM.asf (613 kb)
Movie 3Color Doppler parasternal long-axis view at 9,200 rpm of a left ventricular assist device-supported patient demonstrating features of pump speeds that are adequately supported: left ventricle (LV) decompressed, interventricular septum shifts intermittently toward the LV, aortic valve periodically opening, no flow acceleration mid-LV cavity, and mild mitral regurgitation. (ASF 612 kb)
11886_2014_468_MOESM4_ESM.asf (575 kb)
Movie 4Color Doppler apical 4-chamber view at 9,200 rpm of a left ventricular assist device-supported patient demonstrating features of pump speeds that are adequately supported: left ventricle (LV) decompressed, interventricular septum shifts intermittently toward the LV, aortic valve periodically opening, no flow acceleration mid-LV cavity, and mild mitral regurgitation. (ASF 575 kb)
11886_2014_468_MOESM5_ESM.asf (957 kb)
Movie 5Color Doppler parasternal long-axis view at 8,600 rpm of a left ventricular assist device-supported patient demonstrating features of pump speeds that are too low: left ventricle (LV) not decompressed, interventricular septum shifts toward the right ventricle, aortic valve periodically opening, no flow acceleration mid-LV cavity, and worsening mitral regurgitation. (ASF 956 kb)
11886_2014_468_MOESM6_ESM.asf (847 kb)
Movie 6Color Doppler apical 4-chamber view at 8,600 rpm of a left ventricular assist device-supported patient demonstrating features of pump speeds that are too low: left ventricle (LV) not decompressed, interventricular septum shifts toward the right ventricle, aortic valve periodically opening, no flow acceleration mid-LV cavity, and worsening mitral regurgitation. (ASF 847 kb)

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Maria Chiara Todaro
    • 2
  • Bijoy K. Khandheria
    • 1
  • Timothy E. Paterick
    • 1
  • Matt M. Umland
    • 1
  • Vinay Thohan
    • 1
  1. 1.Aurora Cardiovascular ServicesAurora Sinai/Aurora St. Luke’s Medical Centers, University of Wisconsin School of Medicine and Public HealthMilwaukeeUSA
  2. 2.Cardiology Unit, Department of Clinical and Experimental MedicineUniversity of MessinaMessinaItaly