TY - CHAP
T1 - Endovascular management of complications from intra-aortic balloon pumps and percutaneous left ventricular assist devices (pLVADs)
AU - Dande, Amit S.
AU - Slovut, David P.
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Large-bore endovascular devices such as intra-aortic balloon pump and percutaneous left ventricular assist devices are being utilized with increasing frequency as endovascular and percutaneous techniques are developed for the management of cardiovascular disease. Improvements in design, insertion technique, and operator experience have lowered the incidence of vascular complications associated with IABPs, but there remains significant room for improvement. Currently approved percutaneous LVADs require large sheath sizes and are consequently associated with much higher incidence of vascular complications. In the past, open repair was required for many vascular complications, but in recent years endovascular management has become available and, in some cases, is now the preferred approach for management. In this chapter we discuss the endovascular approach to treatment and techniques to reduce incidence of vascular complications from large-bore vascular devices.
AB - Large-bore endovascular devices such as intra-aortic balloon pump and percutaneous left ventricular assist devices are being utilized with increasing frequency as endovascular and percutaneous techniques are developed for the management of cardiovascular disease. Improvements in design, insertion technique, and operator experience have lowered the incidence of vascular complications associated with IABPs, but there remains significant room for improvement. Currently approved percutaneous LVADs require large sheath sizes and are consequently associated with much higher incidence of vascular complications. In the past, open repair was required for many vascular complications, but in recent years endovascular management has become available and, in some cases, is now the preferred approach for management. In this chapter we discuss the endovascular approach to treatment and techniques to reduce incidence of vascular complications from large-bore vascular devices.
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U2 - 10.1007/978-1-4614-7312-1_69
DO - 10.1007/978-1-4614-7312-1_69
M3 - Chapter
AN - SCOPUS:84956601858
SN - 9781461473121
SN - 9781461473114
SP - 849
EP - 858
BT - Endovascular Interventions: A Case-Based Approach
PB - Springer New York
ER -