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2019 EACTS Expert Consensus on long-term mechanical circulatory support

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review


  1. Duration of Heart Failure and Effect of Defibrillator Implantation in Patients With Nonischemic Systolic Heart Failure

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Interplay of pump design elements and bleeding predilection-Mechanisms for a forward momentum

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Association of Carpal Tunnel Syndrome With Amyloidosis, Heart Failure, and Adverse Cardiovascular Outcomes

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Burden and Causes of Hospital Admissions in Heart Failure During the Last Year of Life

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • Evgenij V Potapov
  • Christiaan Antonides
  • Maria G Crespo-Leiro
  • Alain Combes
  • Gloria Färber
  • Margaret M Hannan
  • Marian Kukucka
  • Nicolaas de Jonge
  • Antonio Loforte
  • Lars H Lund
  • Paul Mohacsi
  • Michiel Morshuis
  • Ivan Netuka
  • Mustafa Özbaran
  • Federico Pappalardo
  • Anna Mara Scandroglio
  • Martin Schweiger
  • Steven Tsui
  • Daniel Zimpfer
  • Finn Gustafsson
Vis graf over relationer

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.

TidsskriftEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
Udgave nummer2
Sider (fra-til)230-270
Antal sider41
StatusUdgivet - 1 aug. 2019

Bibliografisk note

© The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.

ID: 57664594