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Continuous Flow Left Ventricular Assist Devices: Shared Care Goals of Monitoring and Treating Patients

Authors:

Jerry D. Estep ,

Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas; Houston Methodist Hospital, Houston, Texas, US
About Jerry D.
M.D.
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Barry H. Trachtenberg,

Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas; Houston Methodist Hospital, Houston, Texas, US
About Barry H.
M.D.
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Laurie P. Loza,

Houston Methodist Hospital, Houston, Texas, US
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B.S.N.
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Brian A. Bruckner

Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas; Houston Methodist Hospital, Houston, Texas, US
About Brian A.
M.D.
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Abstract

Continuous-flow left ventricular assist devices (CF-LVADs) have been clinically adopted as a long-term standard of care therapy option for patients with end-stage heart failure. For many patients, shared care between the care providers at the implanting center and care providers in the community in which the patient resides is a clinical necessity. The aims of this review are to (1) provide a rationale for the outpatient follow-up exam and surveillance testing used at our center to monitor patients supported by the HeartMate II® CF-LVAD (Thoratec Corporation, Pleasanton, CA) and (2) provide the protocol/algorithms we use for blood pressure, driveline exit site, LVAD alarm history, surveillance blood work, and echocardiography monitoring in this patient population. In addition, we define our partnership outpatient follow-up protocol and the “shared care” specific responsibilities we use with referring health care providers to best manage many of our patients.

How to Cite: 1. Estep JD, Trachtenberg BH, Loza LP, Bruckner BA. Continuous Flow Left Ventricular Assist Devices: Shared Care Goals of Monitoring and Treating Patients. Methodist DeBakey Cardiovascular Journal. 2015;11(1):33-44. DOI: http://doi.org/10.14797/mdcj-11-1-33
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Published on 01 Jan 2015.
Peer Reviewed

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