Utility of Cardiac Compute Tomography in Patients with Left Ventricular Assist Devices

Research output: Contribution to journalReview article

Mahwash Kassi, Bashar Hannawi, Sardar Muhammad Alamzaib, Juan C. Ramirez Giraldo, Su-Min Chang

Purpose of Review: The number of left ventricular assist device implants has increased significantly in the last decade. Left ventricular assist device (LVAD) optimization, trouble-shooting complications, and surgical planning require a multi-modality imaging approach. Echocardiography remains the imaging modality of choice, particularly for physiological evaluation but accurate anatomical evaluation of the entirety of the LVAD is often challenging if not impossible. Cardiac computed tomography (CCT) offers additional information that is valuable in taking care of these complex patients. The purpose of this review is to understand the nuances of LVAD imaging and areas where CCT can aid LVAD evaluation and management. Recent Findings: CCT has a well-established role in trouble-shooting complications particularly inflow and outflow cannula-related anatomic complications from suction and kinking. Even though the literature is scarce, there is evolving data to suggest that adverse inflow and outflow cannula positions may result in unfavorable outcomes. There is more interest in novel mechanisms of device implantation and planning for which data set from CCT is ideal. Functional evaluation of the right ventricle with CCT is becoming more sophisticated and maybe particularly useful in this patient population. Development in CCT technology has helped minimize safety concerns and improved image quality with reduction in LVAD-related artifacts. Summary: CCT is an important adjunct modality to echocardiography for patients with LVAD. Information obtained from CCT may help our understanding of LVAD and in turn help reduce and managed LVAD-related complications.

Original languageEnglish (US)
Article number30
JournalCurrent Cardiovascular Imaging Reports
Volume11
Issue number11
DOIs
StatePublished - Nov 1 2018

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Utility of Cardiac Compute Tomography in Patients with Left Ventricular Assist Devices. / Kassi, Mahwash; Hannawi, Bashar; Alamzaib, Sardar Muhammad; Ramirez Giraldo, Juan C.; Chang, Su-Min.

In: Current Cardiovascular Imaging Reports, Vol. 11, No. 11, 30, 01.11.2018.

Research output: Contribution to journalReview article

Harvard

Kassi, M, Hannawi, B, Alamzaib, SM, Ramirez Giraldo, JC & Chang, S-M 2018, 'Utility of Cardiac Compute Tomography in Patients with Left Ventricular Assist Devices' Current Cardiovascular Imaging Reports, vol. 11, no. 11, 30. https://doi.org/10.1007/s12410-018-9466-0

APA

Kassi, M., Hannawi, B., Alamzaib, S. M., Ramirez Giraldo, J. C., & Chang, S-M. (2018). Utility of Cardiac Compute Tomography in Patients with Left Ventricular Assist Devices. Current Cardiovascular Imaging Reports, 11(11), [30]. https://doi.org/10.1007/s12410-018-9466-0

Vancouver

Kassi M, Hannawi B, Alamzaib SM, Ramirez Giraldo JC, Chang S-M. Utility of Cardiac Compute Tomography in Patients with Left Ventricular Assist Devices. Current Cardiovascular Imaging Reports. 2018 Nov 1;11(11). 30. https://doi.org/10.1007/s12410-018-9466-0

Author

Kassi, Mahwash ; Hannawi, Bashar ; Alamzaib, Sardar Muhammad ; Ramirez Giraldo, Juan C. ; Chang, Su-Min. / Utility of Cardiac Compute Tomography in Patients with Left Ventricular Assist Devices. In: Current Cardiovascular Imaging Reports. 2018 ; Vol. 11, No. 11.

BibTeX

@article{12498fddf6e94b1c88bea81da2dc2b7c,
title = "Utility of Cardiac Compute Tomography in Patients with Left Ventricular Assist Devices",
abstract = "Purpose of Review: The number of left ventricular assist device implants has increased significantly in the last decade. Left ventricular assist device (LVAD) optimization, trouble-shooting complications, and surgical planning require a multi-modality imaging approach. Echocardiography remains the imaging modality of choice, particularly for physiological evaluation but accurate anatomical evaluation of the entirety of the LVAD is often challenging if not impossible. Cardiac computed tomography (CCT) offers additional information that is valuable in taking care of these complex patients. The purpose of this review is to understand the nuances of LVAD imaging and areas where CCT can aid LVAD evaluation and management. Recent Findings: CCT has a well-established role in trouble-shooting complications particularly inflow and outflow cannula-related anatomic complications from suction and kinking. Even though the literature is scarce, there is evolving data to suggest that adverse inflow and outflow cannula positions may result in unfavorable outcomes. There is more interest in novel mechanisms of device implantation and planning for which data set from CCT is ideal. Functional evaluation of the right ventricle with CCT is becoming more sophisticated and maybe particularly useful in this patient population. Development in CCT technology has helped minimize safety concerns and improved image quality with reduction in LVAD-related artifacts. Summary: CCT is an important adjunct modality to echocardiography for patients with LVAD. Information obtained from CCT may help our understanding of LVAD and in turn help reduce and managed LVAD-related complications.",
keywords = "Artifact reduction, Cardiac computed tomography, Left ventricular assist device, LVAD complications, Safety, Surgical planning",
author = "Mahwash Kassi and Bashar Hannawi and Alamzaib, {Sardar Muhammad} and {Ramirez Giraldo}, {Juan C.} and Su-Min Chang",
year = "2018",
month = "11",
day = "1",
doi = "10.1007/s12410-018-9466-0",
language = "English (US)",
volume = "11",
journal = "Current Cardiovascular Imaging Reports",
issn = "1941-9066",
publisher = "Current Medicine Group",
number = "11",

}

RIS

TY - JOUR

T1 - Utility of Cardiac Compute Tomography in Patients with Left Ventricular Assist Devices

AU - Kassi, Mahwash

AU - Hannawi, Bashar

AU - Alamzaib, Sardar Muhammad

AU - Ramirez Giraldo, Juan C.

AU - Chang, Su-Min

PY - 2018/11/1

Y1 - 2018/11/1

N2 - Purpose of Review: The number of left ventricular assist device implants has increased significantly in the last decade. Left ventricular assist device (LVAD) optimization, trouble-shooting complications, and surgical planning require a multi-modality imaging approach. Echocardiography remains the imaging modality of choice, particularly for physiological evaluation but accurate anatomical evaluation of the entirety of the LVAD is often challenging if not impossible. Cardiac computed tomography (CCT) offers additional information that is valuable in taking care of these complex patients. The purpose of this review is to understand the nuances of LVAD imaging and areas where CCT can aid LVAD evaluation and management. Recent Findings: CCT has a well-established role in trouble-shooting complications particularly inflow and outflow cannula-related anatomic complications from suction and kinking. Even though the literature is scarce, there is evolving data to suggest that adverse inflow and outflow cannula positions may result in unfavorable outcomes. There is more interest in novel mechanisms of device implantation and planning for which data set from CCT is ideal. Functional evaluation of the right ventricle with CCT is becoming more sophisticated and maybe particularly useful in this patient population. Development in CCT technology has helped minimize safety concerns and improved image quality with reduction in LVAD-related artifacts. Summary: CCT is an important adjunct modality to echocardiography for patients with LVAD. Information obtained from CCT may help our understanding of LVAD and in turn help reduce and managed LVAD-related complications.

AB - Purpose of Review: The number of left ventricular assist device implants has increased significantly in the last decade. Left ventricular assist device (LVAD) optimization, trouble-shooting complications, and surgical planning require a multi-modality imaging approach. Echocardiography remains the imaging modality of choice, particularly for physiological evaluation but accurate anatomical evaluation of the entirety of the LVAD is often challenging if not impossible. Cardiac computed tomography (CCT) offers additional information that is valuable in taking care of these complex patients. The purpose of this review is to understand the nuances of LVAD imaging and areas where CCT can aid LVAD evaluation and management. Recent Findings: CCT has a well-established role in trouble-shooting complications particularly inflow and outflow cannula-related anatomic complications from suction and kinking. Even though the literature is scarce, there is evolving data to suggest that adverse inflow and outflow cannula positions may result in unfavorable outcomes. There is more interest in novel mechanisms of device implantation and planning for which data set from CCT is ideal. Functional evaluation of the right ventricle with CCT is becoming more sophisticated and maybe particularly useful in this patient population. Development in CCT technology has helped minimize safety concerns and improved image quality with reduction in LVAD-related artifacts. Summary: CCT is an important adjunct modality to echocardiography for patients with LVAD. Information obtained from CCT may help our understanding of LVAD and in turn help reduce and managed LVAD-related complications.

KW - Artifact reduction

KW - Cardiac computed tomography

KW - Left ventricular assist device

KW - LVAD complications

KW - Safety

KW - Surgical planning

UR - http://www.scopus.com/inward/record.url?scp=85054531957&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054531957&partnerID=8YFLogxK

U2 - 10.1007/s12410-018-9466-0

DO - 10.1007/s12410-018-9466-0

M3 - Review article

VL - 11

JO - Current Cardiovascular Imaging Reports

T2 - Current Cardiovascular Imaging Reports

JF - Current Cardiovascular Imaging Reports

SN - 1941-9066

IS - 11

M1 - 30

ER -

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