Advertisement

Necessity of Telemonitoring in Patients Treated by Means of Cardiac Assist Systems on the Example of Polish Rotary Blood Pump ReligaHeart ROT

  • Maciej GawlikowskiEmail author
  • Roman Kustosz
  • Malgorzata Gonsior
  • Miroslaw Czak
  • Przemyslaw Kurtyka
  • Jerzy Pacholewicz
  • Michal Zakliczynski
  • Boguslaw Kapelak
  • Karol Wierzbicki
  • Piotr Siondalski
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 925)

Abstract

Mechanical circulatory support (MCS) became next after heart transplantation clinically recognized way of treatment for patients suffered from end-stage heart failure. Nowadays, long term MCS is realized mostly by means of implantable rotary blood pumps (RBP). Clinically utilized MCS systems have limited capabilities of pump operation supervision and patient’s monitoring. A few of them were equipped with remote data transmission to external data base. In this paper the telemonitoring system intended for Polish rotary cardiac assist system ReligaHeart ROT has been presented. The necessity of remote monitoring of supported patient as well as pump operation has been justified by referring to clinical cases of commercial MCS system HVAD (Medtronic) application.

Keywords

Rotary blood pump Mechanical circulatory support Heart failure Telemonitoring 

Notes

Acknowledgements

This work has been financially supported by National Centre of Research and Development (grant no. RH-ROT/266798/STRATEGMED–II).

Following commercial companies were involved in telemonitoring project: WASKO S.A., Gliwice, Poland; Pro-PLUS S.A., Warsaw, Poland.

References

  1. 1.
    Warrell, D., Cox, T., Firth, J., Dwight, J.: Oxford Textbook of Medicine: Cardiovascular Disorders, pp. 215–218. Oxford University Press, Oxford (2016)Google Scholar
  2. 2.
    Schroder, J.N., Milano, C.A.: A tale of two centrifugal left ventricular assist devices. J. Thorac. Cardiovasc. Surg. 154, 850–852 (2017)CrossRefGoogle Scholar
  3. 3.
    Antończyk, R., Trejnowska, E., Pacholewicz, J., et al.: Emergency heartware ventricular assist device (HVAD) exchange due to pump thrombosis using minimally invasive technique. Kardiochir. Torakochi. 14(1), 76–78 (2017)Google Scholar
  4. 4.
    Kirklin, J.K., Pagani, F.D., Kormos, R.L., et al.: Eighth annual INTERMACS report: special focus on framing the impact of adverse events. J. Heart Lunt Transplant. 36(10), 1080–1086 (2017)CrossRefGoogle Scholar
  5. 5.
    Kaufman, F., Hörmandinger, C., et al.: Acoustic spectral analysis for determining pump thrombosis in rotary blood pumps. ASAIO J. 60(5), 502–507 (2014)CrossRefGoogle Scholar
  6. 6.
    Bennett, M.K., Adatya, S.: Blood pressure management in mechanical circulatory support. J. Thorac. Dis. 7(12), 2125–2128 (2015)Google Scholar
  7. 7.
    Marko, C., Danzinger, G., Käferbäck, M., et al.: Safety and efficacy of cardiac rehabilitation for patients with continuous flow left ventricular assist devices. Eur. J. Prev. Cardiol. 22(11), 1378–1384 (2015)CrossRefGoogle Scholar
  8. 8.
    Major, R., Kustosz, R., Trembecka-Wójciga, K., et al.: Development of surface modification methods for ReligaHeart cardiac support system. Arch. Metall. Mater. 61(3), 1053–1058 (2016)Google Scholar
  9. 9.
    Gawlikowski, M., Kustosz, R., Glowacki, M., et al.: Non-invasive assessment of thromboembolism in rotary blood pumps: case study. In: Proceedings of SPIE, 12th Conference on Integrated Optics: Sensors, Sensing Structures, and Methods, vol. 10455, p. 104550L (2017)Google Scholar
  10. 10.
    Csepe, T., Kilic, A.: Advancements in mechanical circulatory support for patients in acute and chronic heart failure. J. Thorac. Dis. 9(10), 4070–4083 (2017)CrossRefGoogle Scholar
  11. 11.
    Schlöglhofer, T., Horvat, J., Hartner, Z., et al.: Standardized telephone intervention algorithm for improved ventricular assist device outpatient management. J. Heart Lunt Transplant. 35(4), S388 (2014)CrossRefGoogle Scholar
  12. 12.
    Granegger, M., Masetti, M., Laohasurayodhin, R., et al.: Continuous monitoring of aortic valve opening in rotary blood pump patients. IEEE Trans. Bio-Med. Eng. 63(6), 1201–1207 (2016)CrossRefGoogle Scholar
  13. 13.
    Granegger, M., Schlöglhofer, T., Ober, H., et al.: Daily life activity in patients with left ventricular assist devices. Int. J. Artif. Organs 39(1), 22–27 (2016)CrossRefGoogle Scholar
  14. 14.
    Rich, J.D., Burkhoff, D.: HVAD flow waveform morphologies: theoretical foundation and implications for clinical practice. ASAIO J. 63(5), 526–535 (2017)CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Maciej Gawlikowski
    • 1
    Email author
  • Roman Kustosz
    • 1
  • Malgorzata Gonsior
    • 1
  • Miroslaw Czak
    • 1
  • Przemyslaw Kurtyka
    • 1
  • Jerzy Pacholewicz
    • 2
  • Michal Zakliczynski
    • 2
  • Boguslaw Kapelak
    • 3
  • Karol Wierzbicki
    • 3
  • Piotr Siondalski
    • 4
  1. 1.Foundation of Cardiac Surgery DevelopmentZabrzePoland
  2. 2.Department of Cardiac, Vascular and Endovascular Surgery and TransplantologyMedical University of Silesia, Silesian Centre for Heart DiseasesZabrzePoland
  3. 3.Jagiellonian University, Medical College, John Paul II HospitalKrakowPoland
  4. 4.Department of Cardiovascular SurgeryMedical University of GdanskGdańskPoland

Personalised recommendations