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ISHLT	and	
ASAIO	2017:	
What’s	new
20	July 2017	Hospital	Meeting
Dr.	Cristiano	Amarelli.	
Monaldi,	Azienda	dei	Colli,	Naples
ISHLT	2017:	What’s	
new
Demistify CF-LVADs:
• Il	device è	una	pompa	assiale,	diagonale	o	
centrifuga	a	movimento	continuo
• Il	flusso	attraverso	la	pompa	non	è	continuo	
se	vi	è	un	minimo	di	contrattilità	residua
3,6à4,4
3,4à4,6
3,2à4,8
3à5
Hospital meeting 2017
Devices diversi	hanno	un	diverso	rapporto	tra	flusso	sistolico	e	diastolico	in	base	al	design	
della	pompa	(curve	HQ)	e	ciò	impatta	la	qualità	dell’unloading diastolico
Devices diversi	hanno	un	diverso	rapporto	tra	flusso	sistolico	e	diastolico	in	base	al	design	
della	pompa	(curve	HQ)	e	ciò	impatta	la	qualità	dell’unloading diastolico
Hospital meeting 2017
Hospital meeting 2017
Devices diversi	hanno	un	diverso	rapporto	responsività	all’afterload in	base	al	design	della	
pompa	(curve	HQ)	e	ciò	impatta	la	qualità	dell’unloading diastolico
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Ideal	vs	Real.
Hospital meeting 2017
Hospital meeting 2017
Hot	topics	on	LVADs	
at	ISHLT	2017
• Organizzare	i	centri	MCS
• Espandere	la	tecnologia	ai	pazienti	INTERMACS	4-7
• Migliorare	la	qualità	di	vita
• Ottimizzare	la	pompa	e	la	interazione	pompa	paziente
• Ridurre	gli	AE
• Ridurre	l’impatto	cosmetico	ed	il	rischio	chirurgico	e	la	
disfunzione	del	ventricolo	destro.
Hot	topics	on	LVADs	
at	ISHLT	2017
• Organizzare	i	centri	MCS
Hospital meeting 2017
Hospital meeting 2017
Hot	topics	on	LVADs	
at	ISHLT	2017
• Espandere	la	tecnologia	ai	pazienti	
INTERMACS	4-7
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hot	topics	on	LVADs	
at	ISHLT	2017
• Ottimizzare	la	pompa	e	la	interazione	pompa	
paziente
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hot	topics	on	LVADs	
at	ISHLT	2017
• Ridurre	gli	AE
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hot	topics	on	LVADs	
at	ISHLT	2017
• Ridurre	gli	AE
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hot	topics	on	LVADs	
at	ISHLT	2017
• Ridurre	l’impatto	cosmetico	ed	il	rischio	
chirurgico	e	la	disfunzione	del	ventricolo	
destro.
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Hospital meeting 2017
Memento
• Tailor the	pump and	the	surgery on	the	patient characteristics
• Once	the	illness has reached a	peak,	it is best	left alone- Hippocrate
• Avoid futility
• Define your exit	plan/strategies
Hospital meeting 2017

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Hospital meeting 2017