false
ar,zh-CN,zh-TW,en,fr,de,hi,it,ja,es,ur
Catalog
Short-Term Mechanical Circulatory Support for Card ...
MCS eBook PDF
MCS eBook PDF
Back to course
Pdf Summary
The document encompasses two critical topics in cardiovascular interventions: transcaval access and innovations in mechanical circulatory support (MCS). <br /><br />**Transcaval Access Overview:**<br />Transcaval access is a technique developed for patients who cannot undergo traditional catheterization through the transfemoral artery due to obstructions or disease. It involves creating a direct passage from the inferior vena cava into the abdominal aorta to facilitate procedures such as mechanical circulatory support (MCS), transcatheter aortic valve replacement (TAVR), and thoracic endovascular aortic repair (TEVAR). This method, bypassing small or obstructed iliofemoral arteries, employs a nitinol cardiac occluder for closure post-procedure. It necessitates careful patient selection via contrast-enhanced CT to ascertain suitable anatomy and calcium-free puncture sites. Electrosurgery and fluoroscopy guide the crossing, with large devices introduced, and closure managed by the Amplatzer Duct Occluder. Effective management of potential complications like aortic disruptions is crucial, utilizing strategies such as balloon tamponade or covered stents.<br /><br />**MCS Innovations and Future Trends:**<br />As MCS technologies advance, the focus is on enhancing patient outcomes for those experiencing cardiogenic shock and heart failure. Innovations include miniaturization and enhanced biocompatibility of devices, personalized support systems adapting to patient needs, and integration with digital health for improved management. Hybrid systems merging features of various MCS devices offer comprehensive support, while new diagnostic tools aided by AI refine treatment strategies. Developments in biomaterials aim to reduce complications like thrombosis. Economic considerations address device cost and accessibility, aiming to broaden global reach. Understanding these trends helps healthcare providers anticipate the integration of these technologies into practice, ultimately improving patient care.
Keywords
transcaval access
mechanical circulatory support
cardiovascular interventions
transcatheter aortic valve replacement
thoracic endovascular aortic repair
Amplatzer Duct Occluder
cardiogenic shock
heart failure
biocompatibility
digital health
×