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Mechanical Circulatory Support

Editat de Francisco A Arabía
en Limba Engleză Hardback – 28 apr 2026
More than 6 million Americans suffer from heart failure - about 10% of those patients suffer from advanced heart failure. These patients can no longer be treated with conventional heart therapies and symptom management strategies. As a result, a more targeted and invasive technique needs to be discussed and decided between the patient and their doctor. 

​This book describes the current state of the art in mechanical circulatory support with an emphasis in patient selection, device selection, management of comorbidities and complications. The book is the first authoritative and comprehensive volume dedicated to how the technology can be used safely to benefit ill patients suffering from advanced heart failure.

The book begins with a brief historical perspective of the technology and its development.  It will be divided in 6 sections with multiple chapters, each addressing a specific area in MCS.  These sections include types of support, the MCS program, patient selection, operative techniques, management, complications, and special considerations. Chapter authors are experts in their fields. 

Mechanical Heart Assistance to Heart Replacement: A Guide is an essential reference for all providers (physician, nurses, coordinators, engineers, industry, hospitals and regulatory agencies) who manage patients with advanced heart failure who require mechanical circulatory support.

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Specificații

ISBN-13: 9783031090479
ISBN-10: 3031090470
Ilustrații: Approx. 1000 p. 200 illus. in color.
Dimensiuni: 178 x 254 mm
Ediția:1st ed. 2023
Editura: Springer
Colecția Springer
Locul publicării:Cham, Switzerland

Cuprins

1History, Science and Early Development
Section 1: Types of Support
2Extra-Corporeal Membrane Oxygenation: Indications and Use
3Early Concepts VADs: First & Second Generations
4Short-term Support: Abiomed Concepts
5Short-term Support Tandem Heart Concept
6HeartMate II and Axial Flow Pumps VADs
7HeartWare LVAD
8HeartMate 3
9Future LVADs Concepts
10Why an Artificial Heart?
11SynCardia Total Artificial Heart
12Carmat Total Artificial Heart
13Bivacor Total Artificial Heart and Future Concepts
Section 2: MCS Programs
14The MCS Coordinator's Role
15The Team Concept: What you need
16Regulatory Agencies around the world
17MCS Registries; INTERMACS and IMACS
18Ethical Considerations and Palliative Care in MCS
19Physical Rehabilitation before and after MCS
20Quality of Life Metrics and Limits
21 Patient, Religion and the Provider
22The Social Worker and Pre-implantation assessment
Section 3: Patient Selection
23Univentricular vs. Biventricular Failure: The Decision
24Choose short- vs. long-term support and when to transition
25LVADs, BiVADS and TAHs
26Age, Frailty and Nutrition
27Comorbid Conditions Influencing MCS
28Women and MCS
29The Pediatric Population: Selection, devices and outcomes
30The Cachectic and the Morbidly Obese Patients
Section 4: Techniques
31Techniques for Short-Term Devices
32Thoracotomy vs. Sternotomy
33Anesthesia for MCS
34Echocardiography for VADs and TAHs
35The Role of the Perfusionists in MCS
36ICU Care in the care of the MCS Patient
Section 5: Management and Complications
37The Role of Protocols for the Management of Complications
38Anticoagulation: what, when, how much and for how long?
39Acquired von Willebrand Factor Disorder and management
40Neurologic Complications
41Pulmonary Complications
42Right Ventricular Failure after LVAD placement
43Cardiac complications and Arrhythmias 
44Aortic Valve Acquired Disorders and Management
45Hepatic Dysfunction post MCS
46Renal Dysfunction and Dialysis after MCS
47Infectious Complications
48Immunologic Disorders after MCS
49Gastrointestinal Bleeding
50Pump Thrombosis
Section 6: Special Considerations
51Patient and Family Education: (The Burden)
52The Role of the Psychiatrist and Support
53Outpatient Management of the MCS Patient
54Recovery, Transplantation, Destination or Anything?
55Pulsatile vs. Non-pulsatile flow
56MCS in other countries


Notă biografică

Dr. Arabia obtained his MD degree from the University of Pennsylvania.  He holds a degree in bioengineering from Tulane Univ. and an MBA from the University of AZ. He became Professor of Surgery at the University of AZ where he was the surgical director of the Lung Tx Program.
He became Chair of Cardiac Surgery at Mayo Clinic AZ where he established the Heart Transplant and Mechanical Circulatory Support Programs. He has worked as a Clinical Professor of Surgery at UCLA and formerly worked as the Director for Advanced Mechanical Circulatory Support Center at Cedars-Sinai Medical Center in Los Angeles. He currently serves as Physician Executive for Advanced Heart Programs at Banner Health/ University of Arizona in Phoenix and Tucson, Professor of Surgery and Medicine.

He has published extensively in heart transplantation, MCS, and the total artificial heart.


Caracteristici

The first authoritative volume dedicated to technology in advanced heart failure
Offers a broad overview of the current technology
Gives the expertise of dozens of experts in the field