Advertisement
The Journal of Heart and Lung Transplantation
International Society for Heart and Lung Transplantation.
Advanced searchSave search
Letter| Volume 32, ISSUE 6, P654-657, June 2013

Download started.

Ok

Computed tomography correlates of inflow cannula malposition in a continuous-flow ventricular-assist device

Published:April 11, 2013DOI:https://doi.org/10.1016/j.healun.2013.03.010
Computed tomography correlates of inflow cannula malposition in a continuous-flow ventricular-assist device
Previous ArticleIdentifying patients for advanced heart failure therapy by screening patients with cardiac resynchronization therapy or implantable cardioverter-defibrillator: A pilot study
Next ArticlePatient-to-patient encounters: Benefits and challenges
      The HeartMate II (Thoratec Corporation, Pleasanton, CA) is an implanted axial-flow left ventricular assist device (LVAD). Its inflow cannula is placed in the left ventricle (LV) and is connected by a rigid elbow to the pump, which resides in a sub-diaphragmatic pocket. This configuration gives rise to the potential for inflow cannula malposition, frequently accompanied by symptoms such as recurrent heart failure, hemolysis or device thrombosis or ventricular arrhythmias.
      • Acharya D.
      • Singh S.
      • Tallaj J.A.
      • et al.
      Use of gated cardiac computed tomography angiography in the assessment of left ventricular assist device dysfunction.
      ASAIO J. 2011; 57: 32-37
      , 
      • Garcia-Alvarez A.
      • Fernandez-Friera L.
      • Lau J.F.
      • et al.
      Evaluation of right ventricular function and post-operative findings using cardiac computed tomography in patients with left ventricular assist devices.
      J Heart Lung Transplant. 2011; 30: 896-903
      , 
      • Raman S.V.
      • Sahu A.
      • Merchant A.Z.
      • et al.
      Noninvasive assessment of left ventricular assist devices with cardiovascular computed tomography and impact on management.
      J Heart Lung Transplant. 2010; 29: 79-85
      There have been no reports on the prevalence of this complication nor potential anatomic factors predisposing to its occurrence. Our group reviewed our experience with inflow cannula malposition and sought to determine whether pre-operative computed tomographic (CT) imaging could identify any associated anatomic features.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal of Heart and Lung Transplantation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Acharya D.
        • Singh S.
        • Tallaj J.A.
        • et al.
        Use of gated cardiac computed tomography angiography in the assessment of left ventricular assist device dysfunction.
        ASAIO J. 2011; 57: 32-37
        View in Article
        • Garcia-Alvarez A.
        • Fernandez-Friera L.
        • Lau J.F.
        • et al.
        Evaluation of right ventricular function and post-operative findings using cardiac computed tomography in patients with left ventricular assist devices.
        J Heart Lung Transplant. 2011; 30: 896-903
        View in Article
        • Raman S.V.
        • Sahu A.
        • Merchant A.Z.
        • et al.
        Noninvasive assessment of left ventricular assist devices with cardiovascular computed tomography and impact on management.
        J Heart Lung Transplant. 2010; 29: 79-85
        View in Article
        • Miller L.W.
        • Pagani F.D.
        • Russell S.D.
        • et al.
        Use of a continuous-flow device in patients awaiting heart transplantation.
        N Engl J Med. 2007; 357: 885-896
        View in Article
        • Slaughter M.S.
        • Rogers J.G.
        • Milano C.A.
        • et al.
        Advanced heart failure treated with continuous-flow left ventricular assist device.
        N Engl J Med. 2009; 361: 2241-2251
        View in Article

      6. Sorensen EN, Pierson RN III, Feller ED, et al. University of Maryland surgical experience with the Jarvik 2000 axial flow ventricular assist device. Ann Thorac Surg 2012;93:133.

        View in Article

      Article info

      Publication history

      Published online: April 11, 2013

      Identification

      DOI: https://doi.org/10.1016/j.healun.2013.03.010

      Copyright

      © 2013 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect
      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties. The content on this site is intended for healthcare professionals.


      RELX