How to Do Echocardiography in Heart Failure Patients with Long-term Left Ventricular Assist Devices: A Consensus Statement of the Italian Society of Echocardiography and Cardiovascular Imaging

1. LVADs have emerged as destination therapy for advanced heart failure, however, these are still limited by many potential complications after implant, such as right heart failure, aortic regurgitation, thrombosis, infections 2. A seriate and accurate echocardiographic evaluation is needed in LVAD carriers but may sometimes be challenging, due to artifacts or poor acoustic windows due to the device 3. Left ventricular unloading is the main feature to consider to evaluate and adjust device function and requires many echocardiographic parameters to be assessed 4. Ramp test during echocardiography may be of additional value to optimize device speed and to early identify pump dysfunction.

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Publication Details

Journal
Journal of Cardiovascular Echography
Published
2025-04-01
DOI
https://doi.org/10.4103/jcecho.jcecho_63_25
Primary Topic
Mechanical Circulatory Support Devices
Type
article
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article

How to Do Echocardiography in Heart Failure Patients with Long-term Left Ventricular Assist Devices: A Consensus Statement of the Italian Society of Echocardiography and Cardiovascular Imaging

Eustachio Agricola, Antonio De Luca, Giulia Elena Mandoli, Antonella Moreo et al.
Journal of Cardiovascular Echography
Mechanical Circulatory Support Devices
article

How to Do Echocardiography in Heart Failure Patients with Long-term Left Ventricular Assist Devices: A Consensus Statement of the Italian Society of Echocardiography and Cardiovascular Imaging

Eustachio Agricola, Antonio De Luca, Giulia Elena Mandoli, Antonella Moreo, Concetta Zito, Maria Concetta Pastore, Roberta Manganaro, Hatem Soliman-Aboumarie, Matteo Cameli, Maurizio Cusmà Piccione
article en

Abstract

1. LVADs have emerged as destination therapy for advanced heart failure, however, these are still limited by many potential complications after implant, such as right heart failure, aortic regurgitation, thrombosis, infections 2. A seriate and accurate echocardiographic evaluation is needed in LVAD carriers but may sometimes be challenging, due to artifacts or poor acoustic windows due to the device 3. Left ventricular unloading is the main feature to consider to evaluate and adjust device function and requires many echocardiographic parameters to be assessed 4. Ramp test during echocardiography may be of additional value to optimize device speed and to early identify pump dysfunction.

Journal of Cardiovascular EchographyVol. 35(2)
University of Siena (IT), University of Messina (IT), University of Trieste (IT), Vita-Salute San Raffaele University (IT), Harefield Hospital (GB), Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT), IRCCS Ospedale San Raffaele (IT)
Openalex Percentile: Top 83%
Mechanical Circulatory Support Devices
DOIOpen Access PDFOpenAlex
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How to Do Echocardiography in Heart Failure Patients with Long-term Left Ventricular Assist Devices: A Consensus Statement of the Italian Society of Echocardiography and Cardiovascular Imaging — Eustachio Agricola, Antonio De Luca, et al. · Journal of Cardiovascular Echography (2025) | TGRS Research Map | TGRS