Peter Eckman
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View article: Temporary Mechanical Circulatory Support in the Complex Vasculopath
Temporary Mechanical Circulatory Support in the Complex Vasculopath Open
Patients with severe cardiomyopathy should no longer be deemed prohibitive risk in the age of Impella 5.5. Multidisciplinary management is critical to ensure favorable outcomes.
View article: Impact of Advanced Heart Failure Duration on Left Ventricular Functional Improvement After Left Ventricular Assist Device Implantation
Impact of Advanced Heart Failure Duration on Left Ventricular Functional Improvement After Left Ventricular Assist Device Implantation Open
Left ventricular recovery (LV) in patients with advanced heart failure (HF) supported by a durable left ventricular assist device (LVAD) is uncommon but clinically significant. There is limited understanding on the timing of LV recovery in…
View article: Review of Fda Manufacturer and User Facility Device Experience Database Reports on Driveline Fractures in Heartmate 2 LVAD
Review of Fda Manufacturer and User Facility Device Experience Database Reports on Driveline Fractures in Heartmate 2 LVAD Open
Continuous flow ventricular assist devices have revolutionized the care of stage D heart failure patients and tens of thousands of devices have been implanted. Patients with end-stage heart failure have experienced reduced mortality and im…
View article: Left Atrial-to-Coronary Sinus Shunting in Heart Failure With Mildly Reduced or Preserved Ejection Fraction
Left Atrial-to-Coronary Sinus Shunting in Heart Failure With Mildly Reduced or Preserved Ejection Fraction Open
In patients with HF and LVEF >40%, the APTURE shunt confirmed an acceptable safety profile with improvements in HF symptoms, quality of life, and functional capacity without negatively affecting right and left heart function after 2 years,…
View article: Early vs. delayed mechanical circulatory support in patients with acute myocardial infarction and cardiogenic shock
Early vs. delayed mechanical circulatory support in patients with acute myocardial infarction and cardiogenic shock Open
Aims Despite increased temporary mechanical circulatory support (tMCS) utilization for acute myocardial infarction complicated by cardiogenic shock (AMI-CS), data regarding efficacy and optimal timing for tMCS support are limited. This stu…
View article: Heart transplantation in a patient with infective endocarditis bridged with Impella 5.5: a case report
Heart transplantation in a patient with infective endocarditis bridged with Impella 5.5: a case report Open
Background Infective endocarditis (IE) is a feared complication after surgical valve replacement accounting for 10% to 30% of all cases of IE. Our case is unique as we present a decompensated heart failure patient with IE who urgently need…
View article: Chinese Medicine, Acupuncture and Science
Chinese Medicine, Acupuncture and Science Open
Ever since the introduction of Western biomedicine into China, there has been friction between proponents of this new approach, and proponents of the traditional medical practices that had evolved over thousands of years in China. For the …
View article: Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure
Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure Open
IMPORTANCE Left ventricular assist devices (LVADs) enhance quality and duration of life in advanced heart failure. The burden of nonsurgical bleeding events is a leading morbidity. Aspirin as an antiplatelet agent is mandated along with vi…
View article: Left Atrial to Coronary Sinus Shunting for Treatment of Symptomatic Heart Failure
Left Atrial to Coronary Sinus Shunting for Treatment of Symptomatic Heart Failure Open
In this single-arm experience, the APTURE Transcatheter Shunt System in patients with symptomatic HF was observed to be safe and resulted in reduction in pulmonary capillary wedge pressure and clinically meaningful improvements in HF sympt…
View article: Percutaneous Atriotomy for Levoatrial–to–Coronary Sinus Shunting in Symptomatic Heart Failure
Percutaneous Atriotomy for Levoatrial–to–Coronary Sinus Shunting in Symptomatic Heart Failure Open
Our study reports the first-in-human experience of a novel approach for left-sided transcatheter cardiac interventions: the percutaneous atriotomy. This approach enabled the placement of a novel LA-to-CS shunt for LA decompression. The pro…
View article: The incidence, risk factors, and outcomes associated with late right-sided heart failure in patients supported with an axial-flow left ventricular assist device
The incidence, risk factors, and outcomes associated with late right-sided heart failure in patients supported with an axial-flow left ventricular assist device Open
BACKGROUND: Early right-sided heart failure (RHF) after left ventricular assist device (LVAD) implantation is associated with increased mortality, but little is known about patients who develop late RHF (LRHF). We evaluated the incidence, …
View article: Early intervention for lactate dehydrogenase elevation improves clinical outcomes in patients with the HeartMate II left ventricular assist device: Insights from the PREVENT study
Early intervention for lactate dehydrogenase elevation improves clinical outcomes in patients with the HeartMate II left ventricular assist device: Insights from the PREVENT study Open
BACKGROUND: Hemolysis, assessed by elevated serum lactate dehydrogenase (LDH), is strongly associated with HeartMate II pump thrombosis (PT). However, it is unknown whether early intervention for elevated LDH circumvents the risk of seriou…
View article: Effects of a Consensus-Based Pulmonary Embolism Treatment Algorithm and Response Team on Treatment Modality Choices, Outcomes, and Complications
Effects of a Consensus-Based Pulmonary Embolism Treatment Algorithm and Response Team on Treatment Modality Choices, Outcomes, and Complications Open
Pulmonary embolism (PE) treatment depends on disease severity and risk of complications. Physician and institutional expertise may influence the use of reperfusion therapy (RT) such as systemic thrombolysis (SL) and catheter-directed inter…
View article: Improving Value Through Heart Failure Care Coordination: The Allina Health Experience
Improving Value Through Heart Failure Care Coordination: The Allina Health Experience Open
Reducing readmission following heart failure is emerging as a target of quality initiatives in the Centers for Medicare & Medicaid Services Hospital Readmission Reduction Program. In response to higher readmission rates than desired follow…
View article: Constitutional/Conditional Acupuncture
Constitutional/Conditional Acupuncture Open
A new style of acupuncture, named constitutional/conditional acupuncture (CCA), based on traditional Asian medical practices, was revealed in Kunming in 2017. This method is primarily based on pulse diagnosis, as developed in China, Korea,…
View article: Common clinical dilemmas in left ventricular assist device therapy: A glimpse into current trends
Common clinical dilemmas in left ventricular assist device therapy: A glimpse into current trends Open
Background
Left ventricular assist device (LVAD) therapy has been thrust into the forefront of surgical treatment for advanced heart failure (HF). Despite advancements in survival and quality of life with these devices, the multi-discipli…
View article: Sensible Medical Innovations Lung fLuid Status Monitor Allows rEducing Readmission Rate of Heart Failure Patients (SMILE)—A Randomized Controlled Study
Sensible Medical Innovations Lung fLuid Status Monitor Allows rEducing Readmission Rate of Heart Failure Patients (SMILE)—A Randomized Controlled Study Open
Heart failure is the leading cause of hospitalization, and reducing potentially preventable readmissions has been a major goal for many health care organizations. The potential for penalties from the Centers for Medicare & Medicaid Service…
View article: Ventricular assist devices: a snapshot into the current state of technology.
Ventricular assist devices: a snapshot into the current state of technology. Open
Left ventricular assist devices (LVADs) have changed the landscape of how end stage heart failure is treated. Despite the inconvenience of drive lines and batteries, the improvement in quality of life that these devices offer patients is u…