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Review
. 2015 Jan-Mar;11(1):4-8.
doi: 10.14797/mdcj-11-1-4.

Treatment strategies for patients with an INTERMACS I profile

Walid K Abu Saleh  1 , Odeaa Al Jabbari  1 , Ashrith Guha  1 , Matthias Loebe  1 , Brian A Bruckner  1
Affiliations
Review

Treatment strategies for patients with an INTERMACS I profile

Walid K Abu Saleh et al. Methodist Debakey Cardiovasc J. 2015 Jan-Mar.

Abstract

Treatment of patients with INTERMACS class I heart failure can be very challenging, and temporary long-term device support may be needed. In this article, we review the currently available temporary support devices in order to support these severely ill patients with decompensated heart failure. Strategies of using a temporary assist as a bridge to long-term device support are also discussed.

Keywords: INTERMACS system; cardiac risk factors; heart assist device; heart failure; right heart dysfunction.

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Figures

None
W. K. Abu Saleh, M.D.
Figure 1.
Figure 1.
(A) Impella LP 2.5 pump. (B) Impella LP 2.5 inserted from femoral artery across aortic valve. (C) Impella LD pump. (D) Impella LD inserted through ascending aorta. Courtesy of Abiomed, Inc., Danvers, MA; with permission.
Figure 2.
Figure 2.
(A) TandemHeart pump. (B) TandemHeart system. Courtesy of CardiacAssist, Inc., Pittsburg, PA; with permission.
Figure 3.
Figure 3.
(A) CentriMag pump and pump with motor. (B) Common CentriMag cannulation configurations for univentricular or biventricular support. Ao: aorta; LA: left atrium; LVAD: left-ventricular assist device; PA: pulmonary artery; RA: right atrium; RVAD: right-ventricular assist device. Courtesy of Thoratec Corporation, Pleasanton, CA; with permission.
Figure 4.
Figure 4.
Treatment approach to patients with isolated left ventricular failure, right ventricular failure and bi-ventricular failure.
See this image and copyright information in PMC

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