Cardiovascular Devices part IV Flashcards

1
Q

What is MCS (Mechanical Circulatory Device) used for

A

A device that supports patients with advanced heart-failure

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2
Q

What patients are indicated for MCS device

A

Class IV/ Stage D is indicated to use MCS device (experience symptoms even at rest)

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3
Q

What is bridge to transplant

A

Acts as a support for the patient (temporary) while waiting for the donor

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4
Q

Who first did keep the canine head alive using the Autojector

A

Dr. Sergey Bryukhonenko

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5
Q

Who experimented the 1st total artificial heart

A

Dr. Denton Cooley

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6
Q

What was the first permanent total artificial heart for most modern devices

A

Jarvik 7 from Dr. Robert Jarvik

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7
Q

What are two types of MCS (mechanical circulatory device)

A
  • TAH (Total artificial heart)

- VAD (Ventricular Assist Device)

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8
Q

What are the components of VAD

A
  • Power source (electrical or pneumatic)
  • Driveline (Transfer power between controller and pump)
  • Controller
  • Pump (move blood for circulation)
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9
Q

What is the most used VAD

A
  • LVAD (Left ventricular assist device)
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10
Q

What type of pumps for each generation of VAD

A
  • First generation: pulsatile

- 2nd and 3rd gen: Rotary pump

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11
Q

Which type of pump is better for VAD and why

A
  • Rotary pump

- Because it has single rotating, lightweight, more stable and less complicated

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12
Q

What total artificial heart is the first and only FDA approved

A

Cardiowest from Syncardia

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13
Q

What are some advantages of Cardiowest

A
  • Pulsatile flow
  • Lightweight
  • Completely replaces native ventricles and all four valves.
  • Portable Driver (FDA approved in 2014)
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14
Q

What are the components of Cardiowest

A
  • 2 PU chambers, 4 tilting disc MHVs
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15
Q

What is AbioCor TAH

A
  • 1st fully implantable TAH
  • Approved by FDA in 2006
  • Trial as Destination Therapy
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16
Q

What are the components of AbioCor TAH

A
  • Internal: battery, two pumps, controller, TET coil

- External: TET coil

17
Q

Advantages of AbioCor

A
  • Completely implanted
  • ## Reduce risk of infection
18
Q

Disadvantages of AbioCor

A
  • Heavy
  • Bulky
  • Not biocompatible
  • Complex surgery
  • Less durable
19
Q

What TAH device stop

A
  • AbioCor stop developed in 2015