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Published in: Current Cardiovascular Imaging Reports 11/2018

01-11-2018 | Echocardiography (F Asch and S Costa, Section Editors)

The Comprehensive Assessment of Left Ventricular Assist Devices by Echocardiography

Authors: Amy A. Sarma, Michael H. Picard, Judy Hung

Published in: Current Cardiovascular Imaging Reports | Issue 11/2018

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Abstract

Purpose of Review

Echocardiography is the imaging modality of choice for patient selection prior to left ventricular assist device (LVAD) implantation, assessment of device placement, optimization of device settings, diagnosis of device-related complications, and assessment of LV recovery. The key echocardiographic features of these devices will be highlighted in the following review.

Recent Findings

With increased utilization of LVADs as well as the development of centrifugal continuous-flow pumps, familiarity with echocardiographic imaging of LVADs is essential to optimal care of these complex patients.

Summary

All echocardiographic evaluations both before and after LVAD implantation should assess for biventricular function and cavity size, valvular function and pathology, intracardiac thrombi, intracardiac shunting, cannula position and flow, aortic pathology, and pericardial effusion. RAMP testing may be utilized when device complications are suspected.
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Metadata
Title
The Comprehensive Assessment of Left Ventricular Assist Devices by Echocardiography
Authors
Amy A. Sarma
Michael H. Picard
Judy Hung
Publication date
01-11-2018
Publisher
Springer US
Published in
Current Cardiovascular Imaging Reports / Issue 11/2018
Print ISSN: 1941-9066
Electronic ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-018-9470-4

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