Mark Bradley MCS Coordinator Thomas Tribble MCS Coordinator
Mark Bradley MCS Coordinator Thomas Tribble MCS Coordinator Division of Transplant Mechanical Circulatory Support VAD’s: How the Work
Faculty Disclosure The speakers have no relevant financial relationship to disclose.
Objectives • Discuss various mechanical circulatory support alternatives currently available and proper deployment –Axial flow pumps –Pulsatile flow pumps –Extra Corporeal pumps • Management of MCS patients
Educational Need/Practice Gap Technology improvements in mechanical circulatory support is rapidly increasing and updating medical professional to the latest technology and alternatives for Heart Failure treatments will enhance patient outcomes and give Kentuckians a wider range of choices.
Mechanical Circulatory Support Bridge to Decision Bridge to Transplant Destination Therapy
Types of Therapy Axial Flow Therapy Pulsatile Therapy Total Artificial Heart Therapy
Axial Flow Therapy Bridge & Destination Therapy Assistive Device only Currently supports LV only Implantable - Impeller driven Long battery life Improved quality of life Discharge Home
Axial Flow Image courtesy of Thoratec Corp.
Axial Flow Image courtesy of Thoratec Corp.
Impella 5. 0 Image courtesy of Abio. Med
Impella 5. 0 Console Image courtesy of Abio. Med
Pulsatile Therapy Bridge & Destination Therapy Assistive Device Left and Right Ventricular support Extracorporeal Moderate battery life Improved quality of life: Discharge Home
Pulsatile Devices Image courtesy of Abio. Med
Pulsatile Devices Image courtesy of Abio. Med
Total Artificial Heart Image courtesy of Syncardia Systems, Inc.
Total Artificial Heart Bridge & Destination Therapy Complete bilateral Ventriculectomy Pneumatically driven Left and Right Ventricular support Extracorporeal Currently short battery life Improved quality of life: Discharge Home
Total Artificial Heart Image courtesy of Syncardia Systems, Inc.
Total Artificial Heart Image courtesy of Syncardia Systems, Inc.
Future of MCS Totally Implantable Systems Image courtesy of Syncardia Systems, Inc.
Future of MCS Smaller Implantable Devices
Mechanical Circulatory Support TAH recipient Zach Posen & Dr. Mark Plunkett
MCS References: Syn. Cardia temporary Total Artificial Heart (TAH-t) Operators Manual Syn. Cardia temporary Total Artificial Heart (TAH-t) Freedom Driver Manual Thoratec Heart. Mate II Surgical Implantation Manual Thoratec Heart. Mate II Operators Manual Abio. Med Impella 5. 0 Surgical Implant Manual Abio. Med Impella 5. 0 Console Instructional Manual
MCS Questions & Demonstrations
- Slides: 23