Transcript Susan S. Smyth MD, PhD Division of Cardiovascular Medicine

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 AbioMed
Impella 5.0 Console
Image courtesy of AbioMed
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 AbioMed
Pulsatile Devices
Image courtesy of AbioMed
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:
SynCardia temporary Total Artificial Heart (TAH-t) Operators Manual
SynCardia temporary Total Artificial Heart (TAH-t) Freedom Driver Manual
Thoratec HeartMate II Surgical Implantation Manual
Thoratec HeartMate II Operators Manual
AbioMed Impella 5.0 Surgical Implant Manual
AbioMed Impella 5.0 Console Instructional Manual
MCS
Questions
&
Demonstrations