A multidisciplinary approach for the emergency care of patients with left ventricular assist devices: A practical guide
The use of a left ventricular assist device (LVAD) as a bridge-to-transplantation or destination therapy to support cardiac function in patients with end-stage heart failure (HF) is increasing in all developed countries. However, the expertise needed to implant and manage patients referred for LVAD...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.923544/full |
| _version_ | 1828153541659721728 |
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| author | Matteo Cameli Maria Concetta Pastore Giulia Elena Mandoli Federico Landra Matteo Lisi Matteo Lisi Luna Cavigli Flavio D'Ascenzi Marta Focardi Chiara Carrucola Aleksander Dokollari Gianluigi Bisleri Charilaos Tsioulpas Sonia Bernazzali Massimo Maccherini Serafina Valente |
| author_facet | Matteo Cameli Maria Concetta Pastore Giulia Elena Mandoli Federico Landra Matteo Lisi Matteo Lisi Luna Cavigli Flavio D'Ascenzi Marta Focardi Chiara Carrucola Aleksander Dokollari Gianluigi Bisleri Charilaos Tsioulpas Sonia Bernazzali Massimo Maccherini Serafina Valente |
| author_sort | Matteo Cameli |
| collection | DOAJ |
| description | The use of a left ventricular assist device (LVAD) as a bridge-to-transplantation or destination therapy to support cardiac function in patients with end-stage heart failure (HF) is increasing in all developed countries. However, the expertise needed to implant and manage patients referred for LVAD treatment is limited to a few reference centers, which are often located far from the patient's home. Although patients undergoing LVAD implantation should be permanently referred to the LVAD center for the management and follow-up of the device also after implantation, they would refer to the local healthcare service for routine assistance and urgent health issues related to the device or generic devices. Therefore, every clinician, from a bigger to a smaller center, should be prepared to manage LVAD carriers and the possible risks associated with LVAD management. Particularly, emergency treatment of patients with LVAD differs slightly from conventional emergency protocols and requires specific knowledge and a multidisciplinary approach to avoid ineffective treatment or dangerous consequences. This review aims to provide a standard protocol for managing emergency and urgency in patients with LVAD, elucidating the role of each healthcare professional and emphasizing the importance of collaboration between the emergency department, in-hospital ward, and LVAD reference center, as well as algorithms designed to ensure timely, adequate, and effective treatment to patients with LVAD. |
| first_indexed | 2024-04-11T22:26:27Z |
| format | Article |
| id | doaj.art-4674a870f2ba47ad86651c63add2cc61 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-11T22:26:27Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-4674a870f2ba47ad86651c63add2cc612022-12-22T03:59:38ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-08-01910.3389/fcvm.2022.923544923544A multidisciplinary approach for the emergency care of patients with left ventricular assist devices: A practical guideMatteo Cameli0Maria Concetta Pastore1Giulia Elena Mandoli2Federico Landra3Matteo Lisi4Matteo Lisi5Luna Cavigli6Flavio D'Ascenzi7Marta Focardi8Chiara Carrucola9Aleksander Dokollari10Gianluigi Bisleri11Charilaos Tsioulpas12Sonia Bernazzali13Massimo Maccherini14Serafina Valente15Division of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyDivision of Cardiology, Department of Cardiovascular Diseases -AUSL Romagna, Ospedale S. Maria delle Croci, Ravenna, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyDepartment of Cardiac Surgery, Cardiac Surgery, St. Michael Hospital, Toronto, ON, CanadaDepartment of Cardiac Surgery, Cardiac Surgery, St. Michael Hospital, Toronto, ON, CanadaDepartment of Cardiac Surgery, Azienda Ospedaliera Universitaria Senese, Siena, ItalyDepartment of Cardiac Surgery, Azienda Ospedaliera Universitaria Senese, Siena, ItalyDepartment of Cardiac Surgery, Azienda Ospedaliera Universitaria Senese, Siena, ItalyDivision of Cardiology, Department of Medical Biotechnologies, University of Siena, Siena, ItalyThe use of a left ventricular assist device (LVAD) as a bridge-to-transplantation or destination therapy to support cardiac function in patients with end-stage heart failure (HF) is increasing in all developed countries. However, the expertise needed to implant and manage patients referred for LVAD treatment is limited to a few reference centers, which are often located far from the patient's home. Although patients undergoing LVAD implantation should be permanently referred to the LVAD center for the management and follow-up of the device also after implantation, they would refer to the local healthcare service for routine assistance and urgent health issues related to the device or generic devices. Therefore, every clinician, from a bigger to a smaller center, should be prepared to manage LVAD carriers and the possible risks associated with LVAD management. Particularly, emergency treatment of patients with LVAD differs slightly from conventional emergency protocols and requires specific knowledge and a multidisciplinary approach to avoid ineffective treatment or dangerous consequences. This review aims to provide a standard protocol for managing emergency and urgency in patients with LVAD, elucidating the role of each healthcare professional and emphasizing the importance of collaboration between the emergency department, in-hospital ward, and LVAD reference center, as well as algorithms designed to ensure timely, adequate, and effective treatment to patients with LVAD.https://www.frontiersin.org/articles/10.3389/fcvm.2022.923544/fullemergencyheart failureurgencyLVAD (left ventricular assist device)mechanical circulatory support (MCS) |
| spellingShingle | Matteo Cameli Maria Concetta Pastore Giulia Elena Mandoli Federico Landra Matteo Lisi Matteo Lisi Luna Cavigli Flavio D'Ascenzi Marta Focardi Chiara Carrucola Aleksander Dokollari Gianluigi Bisleri Charilaos Tsioulpas Sonia Bernazzali Massimo Maccherini Serafina Valente A multidisciplinary approach for the emergency care of patients with left ventricular assist devices: A practical guide Frontiers in Cardiovascular Medicine emergency heart failure urgency LVAD (left ventricular assist device) mechanical circulatory support (MCS) |
| title | A multidisciplinary approach for the emergency care of patients with left ventricular assist devices: A practical guide |
| title_full | A multidisciplinary approach for the emergency care of patients with left ventricular assist devices: A practical guide |
| title_fullStr | A multidisciplinary approach for the emergency care of patients with left ventricular assist devices: A practical guide |
| title_full_unstemmed | A multidisciplinary approach for the emergency care of patients with left ventricular assist devices: A practical guide |
| title_short | A multidisciplinary approach for the emergency care of patients with left ventricular assist devices: A practical guide |
| title_sort | multidisciplinary approach for the emergency care of patients with left ventricular assist devices a practical guide |
| topic | emergency heart failure urgency LVAD (left ventricular assist device) mechanical circulatory support (MCS) |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.923544/full |
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