Evidence of clinical efficacy of counterpulsation therapy methods

Verfasser / Beitragende:
[M. Capoccia, C. Bowles, J. Pepper, N. Banner, A. Simon]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/3(2015-05-01), 323-335
Format:
Artikel (online)
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245 0 0 |a Evidence of clinical efficacy of counterpulsation therapy methods  |h [Elektronische Daten]  |c [M. Capoccia, C. Bowles, J. Pepper, N. Banner, A. Simon] 
520 3 |a Although heart transplantation remains the ultimate treatment for end-stage heart failure, its epidemiological impact is limited by donor organ availability. Surgical and device-based approaches have been introduced with the aim of increasing systemic perfusion and in some circumstances promoting left ventricular recovery by inducing reverse remodelling. Innovative counterpulsation devices based on the established principle of the intra-aortic balloon pump have been developed, and of these, the CardioVad and the C-Pulse System have been introduced in clinical practice with convincing evidence of haemodynamic efficacy. The evolution from pulsatile to continuous-flow left ventricular assist devices has been associated with improved survival rates during the first 2years of support with the potential of matching heart transplantation outcomes. However, blood contact with the device remains a significant challenge despite the highly sophisticated technology currently available. Innovative extra-vascular counterpulsation devices have been shown to overcome the limitations of the intra-aortic balloon pump and rend the device suitable for prolonged support. Monitoring of the performance of these novel devices is essential, and carotid Doppler ultrasonography is of utility in assessing the haemodynamic performance of the devices in a clinical setting. Computational modelling has played a role in the simulation of these devices and should continue to assist with their optimisation and implementation in clinical practice. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Heart failure  |2 nationallicence 
690 7 |a IABP  |2 nationallicence 
690 7 |a LVAD  |2 nationallicence 
690 7 |a Counterpulsation  |2 nationallicence 
700 1 |a Capoccia  |D M.  |u Cardiothoracic Surgery, Royal Stoke University Hospital, Stoke-on-Trent, UK  |4 aut 
700 1 |a Bowles  |D C.  |u VAD Team, Harefield Hospital, London, UK  |4 aut 
700 1 |a Pepper  |D J.  |u Cardiothoracic Surgery, Royal Brompton Hospital, London, UK  |4 aut 
700 1 |a Banner  |D N.  |u Heart Failure Cardiology, Harefield Hospital, London, UK  |4 aut 
700 1 |a Simon  |D A.  |u Cardiothoracic and Transplant Surgery, Harefield Hospital, London, UK  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/3(2015-05-01), 323-335  |x 1382-4147  |q 20:3<323  |1 2015  |2 20  |o 10741 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Capoccia  |D M.  |u Cardiothoracic Surgery, Royal Stoke University Hospital, Stoke-on-Trent, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bowles  |D C.  |u VAD Team, Harefield Hospital, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pepper  |D J.  |u Cardiothoracic Surgery, Royal Brompton Hospital, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Banner  |D N.  |u Heart Failure Cardiology, Harefield Hospital, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Simon  |D A.  |u Cardiothoracic and Transplant Surgery, Harefield Hospital, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/3(2015-05-01), 323-335  |x 1382-4147  |q 20:3<323  |1 2015  |2 20  |o 10741