2019 EACTS Expert Consensus on long-term mechanical circulatory support
| Autor: | Potapov E.V., Antonides C., Crespo-Leiro M.G., Combes A., Färber G., Hannan M.M., Kukucka M., De Jonge N., Loforte A., Lund L.H., Mohacsi P., Morshuis M., Netuka I., Özbaran M., Pappalardo F., Scandroglio A.M., Schweiger M., Tsui S., Zimpfer D., Gustafsson F., The Task Force on Long-Term Mechanical Circulatory Support of the EACTS |
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| Přispěvatelé: | Ege Üniversitesi, University of Zurich, Potapov, Evgenij V, Cardiothoracic Surgery, Antonides, Christiaan, Crespo-Leiro, Maria G, Combes, Alain, Färber, Gloria, Hannan, Margaret M, Kukucka, Marian, de Jonge, Nicolaa, Loforte, Antonio, Lund, Lars H, Mohacsi, Paul, Morshuis, Michiel, Netuka, Ivan, Özbaran, Mustafa, Pappalardo, Federico, Scandroglio, Anna Mara, Schweiger, Martin, Tsui, Steven, Zimpfer, Daniel, Gustafsson, Finn |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_treatment
Expert consensus Left ventricular assist device 030204 cardiovascular system & hematology law.invention 0302 clinical medicine Postoperative Complications Multidisciplinary approach law Medicine Rehabilitation Expert consensu General Medicine Intensive care unit 2746 Surgery Eacts/27 ComputingMilieux_MANAGEMENTOFCOMPUTINGANDINFORMATIONSYSTEMS Eacts/22 Left ventricular assist devices InformationSystems_MISCELLANEOUS Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine medicine.medical_specialty 610 Medicine & health Heart failure Preoperative care Perioperative Care 2705 Cardiology and Cardiovascular Medicine Prosthesis Implantation 03 medical and health sciences Ambulatory care Mechanical circulatory support Journal Article Humans 10220 Clinic for Surgery Cardiac Surgical Procedures Intensive care medicine business.industry ComputerSystemsOrganization_COMPUTER-COMMUNICATIONNETWORKS medicine.disease Comorbidity Editor's Choice ComputingMethodologies_PATTERNRECOGNITION 030228 respiratory system 2740 Pulmonary and Respiratory Medicine Ventricular assist device Surgery Heart-Assist Devices business Reports |
| Zdroj: | Potapov, E V, Antonides, C, Crespo-Leiro, M G, Combes, A, Färber, G, Hannan, M M, Kukucka, M, de Jonge, N, Loforte, A, Lund, L H, Mohacsi, P, Morshuis, M, Netuka, I, Özbaran, M, Pappalardo, F, Scandroglio, A M, Schweiger, M, Tsui, S, Zimpfer, D & Gustafsson, F 2019, ' 2019 EACTS Expert Consensus on long-term mechanical circulatory support ', European Journal of Cardio-Thoracic Surgery, vol. 56, no. 2, pp. 230-270 . https://doi.org/10.1093/ejcts/ezz098 European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery European Journal of Cardio-thoracic Surgery, 56(2), 230-270. Elsevier European Journal of Cardio-thoracic Surgery, 56(2), 230. Elsevier RUC. Repositorio da Universidade da Coruña instname |
| ISSN: | 1010-7940 |
| Popis: | Gustafsson, Finn/0000-0003-2144-341X; Crespo-Leiro, Maria Generosa/0000-0002-3085-167X; Loforte, Antonio/0000-0002-3689-0477; Zimpfer, Daniel/0000-0002-2185-4895 WOS: 000493090200005 PubMed: 31100109 Long-term mechanical circulatory support (LT-MCS) is an important treatment modality for patients with severe heart failure. Different devices are available, and many-sometimes contradictory-observations regarding patient selection, surgical techniques, perioperative management and follow-up have been published. With the growing expertise in this field, the European Association for Cardio-Thoracic Surgery (EACTS) recognized a need for a structured multidisciplinary consensus about the approach to patients with LT-MCS. However, the evidence published so far is insufficient to allow for generation of meaningful guidelines complying with EACTS requirements. Instead, the EACTS presents an expert opinion in the LT-MCS field. This expert opinion addresses patient evaluation and preoperative optimization as well as management of cardiac and non-cardiac comorbidities. Further, extensive operative implantation techniques are summarized and evaluated by leading experts, depending on both patient characteristics and device selection. the faculty recognized that postoperative management is multidisciplinary and includes aspects of intensive care unit stay, rehabilitation, ambulatory care, myocardial recovery and end-of-life care and mirrored this fact in this paper. Additionally, the opinions of experts on diagnosis and management of adverse events including bleeding, cerebrovascular accidents and device malfunction are presented. in this expert consensus, the evidence for the complete management from patient selection to end-of-life care is carefully reviewed with the aim of guiding clinicians in optimizing management of patients considered for or supported by an LT-MCS device. |
| Databáze: | OpenAIRE |
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