title: [Technical possibilities and limitations of mechanical circulatory support].
abstract: Ventricular assist devices (VAD) to support the left (LVAD), the right (RVAD) or both ventricles (BVAD) have emerged as one standard of care for advanced heart failure patients. Initially used to bridge patients to transplantation (BTT) they are now more frequently implanted as permanent support (destination therapy, DT). Bridge to recovery (BTR) is a valid option for only a small number of patients. Although there are different devices available, patient selection, preoperative and intraoperative management, and the timing of VAD implantation are the elements critical to successful circulatory support.
authors.affiliation: Klinik für Herz- Thorax- und Gefäßchirurgie, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin.
authors.forename: Thomas
authors.initials: T
authors.lastname: Krabatsch
authors.forename: Martin
authors.initials: M
authors.lastname: Schweiger
authors.forename: Alexander
authors.initials: A
authors.lastname: Stepanenko
authors.forename: Thorsten
authors.initials: T
authors.lastname: Drews
authors.forename: Evgenij
authors.initials: E
authors.lastname: Potapov
authors.forename: Juliane
authors.initials: J
authors.lastname: Vierecke
authors.forename: Beate
authors.initials: B
authors.lastname: Jurmann
authors.forename: Miralem
authors.initials: M
authors.lastname: Pasic
authors.forename: Yu-Guo
authors.initials: YG
authors.lastname: Weng
authors.forename: Michael
authors.initials: M
authors.lastname: Huebler
authors.forename: Roland
authors.initials: R
authors.lastname: Hetzer
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001243:Assisted Circulation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D017548:Echocardiography, Transesophageal; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D016027:Heart Transplantation; D006352:Heart Ventricles; D006353:Heart-Assist Devices / Q000009:adverse effects; D006801:Humans; D007430:Intraoperative Care; D018579:Patient Selection; D020127:Recovery of Function; D013927:Thrombosis / Q000628:therapy
chemical_list: D000925:Anticoagulants