Course 6: Long-Term Circulatory/Respiratory Support

Course Directors: Ashish Shah, Baltimore, MD, and Scott C. Silvestry, St Louis, MO

COMMERCIAL RELATIONSHIPS  S. Silvestry: Consultant/Advisory Board, Thoratec Corporation, Heartware, Inc.;A. Shah, None

Advanced mechanical device technologies for cardiac and pulmonary support offer new treatment options for patients with end-stage cardiopulmonary disease. Medical centers not performing heart or lung transplantation are able to utilize these technologies as a bridge to recovery or decision making, bridge to transplantation, or as permanent cardiac therapy.

Faculty will demonstrate techniques for short- and long-term cardiac and pulmonary support with an emphasis on longer-term support. Basic and advanced implantation LVAD techniques, management options, and surgical decision making at the time of implant will be taught by leaders in the field. Interactive hands-on stations will cover the treatment options for potential intra-operative and post-implant problems, such as right heart failure, infection, and device failure.

Learning Objectives
Upon completion of this activity, participants should be able to:

  • Identify a comprehensive selection of short- and long-term devices
  • Explain the importance of proper patient selection and timing of intervention
  • Determine which concomitant procedures should be considered and executed
  • Identify pitfalls in peri- and postoperative management
  • Access hands-on knowledge of implant techniques, speed adjustments, and troubleshooting

Please watch the video below containing background information and lecture materials associated with this course.

Please note: No CME credit is associated with the viewing of web-based content. This presentation was created for The Society of Thoracic Surgeons STS University courses, and STS retains sole rights to these materials.