title: Myocardial recovery during mechanical circulatory support: weaning and explantation criteria.
abstract: For selected patients ventricular assist device explantation is feasible. Freedom from heart transplantation and VAD support for >15 years following VAD removal is possible even if recovery is incomplete and the underlying cause for ventricular assist device implantation was a chronic form of cardiomyopathy. Echocardiography and rightheart catheterization are necessary to assess cardiac recovery. However, to date there is no gold standard for recovery assessment. Certain echocardiography parameters appeared highly predictive for long-term (≥5 years) post-weaning cardiac function and reliable for weaning decisions.
authors.affiliation: Deutsches Herzzentrum Berlin, Germany, Department of Cardiothoracic and Vascular Surgery.
authors.forename: Michael
authors.initials: M
authors.lastname: Dandel
authors.affiliation: Deutsches Herzzentrum Berlin, Germany, Department of Cardiothoracic and Vascular Surgery.
authors.forename: Roland
authors.initials: R
authors.lastname: Hetzer
keywords: heart failure; myocardial recovery; risk factors; survival; ventricular assist devices; ventricular function
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