Multimodality imaging for the evaluation and management of patients with long-term (durable) left ventricular assist devices

Author:

Cameli Matteo1ORCID,Aboumarie Hatem Soliman23,Pastore Maria Concetta1,Caliskan Kadir4,Cikes Maja5,Garbi Madalina6,Lim Hoong Sern7,Muraru Denisa89,Mandoli Giulia Elena1,Pergola Valeria10ORCID,Plein Sven11ORCID,Pontone Gianluca12ORCID,Soliman Osama I13,Maurovich-Horvat Pal14,Donal Erwan15ORCID,Cosyns Bernard1617,Petersen Steffen E1819

Affiliation:

1. Department of Medical Biotechnologies, Division of Cardiology, University of Siena , Viale Bracci 16, 53100 Siena , Italy

2. Department of Anaesthetics, Critical Care and Mechanical Circulatory Support, Harefield Hospital, Royal Brompton and Harefield Hospitals , London , UK

3. School of Cardiovascular, Metabolic Sciences and Medicine, King’s College , WC2R 2LS London , UK

4. Department of Cardiology, Erasmus MC University Medical Center , Rotterdam , The Netherlands

5. Department of Cardiovascular Diseases, University Hospital Centre , Zagreb , Croatia

6. Cardiology, Royal Papworth Hospital , Cambridge , UK

7. Institute of Cardiovascular Sciences, University Hospitals Birmingham NHS Foundation Trust , Birmingham , UK

8. Department of Cardiology, Istituto Auxologico Italiano IRCCS , Milan , Italy

9. Department of Medicine and Surgery, University Milano-Bicocca , Milan , Italy

10. Department of Cardiology, Padua University Hospital , Padua 35128 , Italy

11. Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds , Leeds , UK

12. Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS , Milan , Italy

13. Department of Cardiology, College of Medicine, Nursing and Health Sciences, National University of Galway , Galway , Ireland

14. Department of Medical Imaging, Semmelweis University , Budapest , Hungary

15. University of Rennes, CHU Rennes, INSERM, LTSI—UMR 1099 , Rennes F-35000 , France

16. Centrum Voor Harten Vaatziekten (CHVZ), Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel) , Brussels , Belgium

17. In Vivo Cellular and Molecular Imaging (ICMI) Center, Vrije Universiteit Brussel (VUB) , Brussels , Belgium

18. William Harvey Research Institute, National Institute for Health and Care Research Barts Biomedical Research Centre, Queen Mary University London , London , UK

19. Barts Heart Centre, St Bartholomew’s Hospital, Barts Health National Health Service Trust , London , UK

Abstract

Abstract Left ventricular assist devices (LVADs) are gaining increasing importance as therapeutic strategy in advanced heart failure (HF), not only as bridge to recovery or to transplant but also as destination therapy. Even though long-term LVADs are considered a precious resource to expand the treatment options and improve clinical outcome of these patients, these are limited by peri-operative and post-operative complications, such as device-related infections, haemocompatibility-related events, device mis-positioning, and right ventricular failure. For this reason, a precise pre-operative, peri-operative, and post-operative evaluation of these patients is crucial for the selection of LVAD candidates and the management LVAD recipients. The use of different imaging modalities offers important information to complete the study of patients with LVADs in each phase of their assessment, with peculiar advantages/disadvantages, ideal application, and reference parameters for each modality. This clinical consensus statement sought to guide the use of multimodality imaging for the evaluation of patients with advanced HF undergoing LVAD implantation.

Publisher

Oxford University Press (OUP)

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