Table 3.
Indicators of RV Failure for Patients Who Received LVAD Support During the Selective Era
| Factor | Patient | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | |
| ECMO support | X | X | X | X | |||||||||||||
| Clinical RV failure* | X | X | |||||||||||||||
| Gross RV dysfunction† | X | X | |||||||||||||||
| Severe TR | |||||||||||||||||
| PVRI > 4 | X | X | X | ||||||||||||||
| RVSWI < 400 | X | X | |||||||||||||||
| Ventricular arrhythmias | X | ||||||||||||||||
| Inadequate LVAD filling | |||||||||||||||||
*
Determined by the presence of ascites, pleural effusions, renal failure, or hepatic failure.
†
Echo or gross inspection in the operating room after LVAD placement.
LVAD, left ventricular assist device; PVRI, pulmonary vascular resistance index: units, mmHg ml/m2; RV, right ventricular; RVSWI, right ventricular stroke work index: units, woods units; TR, tricuspid regurgitation.