Author + information
- Received December 18, 2014
- Revision received February 13, 2015
- Accepted March 6, 2015
- Published online July 1, 2015.
- David G. Cohen, MD,
- James D. Thomas, MD,
- Benjamin H. Freed, MD,
- Jonathan D. Rich, MD and
- Andrew J. Sauer, MD∗ ()
- Division of Cardiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
- ↵∗Reprint requests and correspondence:
Dr. Andrew J. Sauer, Center for Heart Failure, Heart Transplantation and Mechanical Assistance, Bluhm Cardiovascular Institute of Northwestern Medicine, Division of Cardiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 North St. Clair Street, Suite 600, Chicago, Illinois 60611.
Echocardiography is the most used imaging modality in the growing population of patients with advanced heart failure undergoing continuous-flow, durable mechanical circulatory support. However, no guidelines for the use of echocardiography in this population exist, evidence for core applications is limited and conflicting, and newer centrifugal-flow devices have been subject to minimal study. As a first step toward addressing these deficits, this review summarizes the evidence and expert opinion for the use of echocardiography in pre-operative planning and perioperative management, prediction of post-operative right ventricular failure, the use of echocardiographic surrogates for invasive hemodynamic measurements, and the performance of speed ramp studies for the diagnosis of thrombosis and optimization of device settings.
Dr. Freed is a consultant for the McKesson Corporation; and is a speaker for Epsilon Imaging. Drs. Rich and Sauer are consultants for Thoratec and HeartWare. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received December 18, 2014.
- Revision received February 13, 2015.
- Accepted March 6, 2015.
- 2015 American College of Cardiology Foundation