Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

2019 EACTS Expert Consensus on long-term mechanical circulatory support

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

  1. Blood pressure and brain injury in cardiac surgery: a secondary analysis of a randomized trial

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Intraoperative flow profiles of arterial and venous bypass grafts to the left coronary territory

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Lung transplantation after ex vivo lung perfusion in two Scandinavian centres

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Catheter ablation and mortality, stroke and heart failure readmission with atrial fibrillation

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Long-Term Adverse Cardiac Outcomes in Patients With Sarcoidosis

    Research output: Contribution to journalJournal articleResearchpeer-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
View graph of relations

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.

Original languageEnglish
JournalEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
Volume56
Issue number2
Pages (from-to)230-270
Number of pages41
ISSN1010-7940
DOIs
Publication statusPublished - 1 Aug 2019

    Research areas

  • Expert consensus, Heart failure, Left ventricular assist devices, Mechanical circulatory support

ID: 57664594