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The 2013 ISHLT Guidelines for
Mechanical Circulatory Support


JEFFREY J TEUTEBERG, MD
SALPY V PAMBOUKIAN, MD MSPH
DAVID S FELDMAN, MD PhD FACC FAHA
ISHLT MCS Guidelines Co-Chairs



After a two-year process, involving over 30 international contributors, the ISHLT is pleased to announce the upcoming publication of the 2013 ISHLT Guidelines on the Clinical Management of Patients with Mechanical Circulatory Support. The full guidelines will be e-published by the Journal of Heart and Lung Transplantation in January 2013, with an executive summary appearing in the print version of the journal in February. This 250 page document is divided into 5 Task Forces including:

  1. Patient Selection
  2. Pre-operative Optimization
  3. Intra and Post-operative Management
  4. Inpatient Management
  5. Outpatient Management

The process of developing these guidelines was initiated through the MCS Council in 2010. Dr. Stephanie Moore from the ISHLT Standards and Guidelines Committee MCS Workforce coordinated the development of the task-forces and identified chairs for each. It was then the charge of each Task-force Chair to enlist expert contributors to write the sections. Overseeing the process were the guidelines co-chairs, Drs. Jeffery Teuteberg, Salpy Pamboukian and David Feldman. In April 2012, the completed guidelines were posted on the ISHLT website for comment from the society at large. Final revisions incorporating the contributions of the membership were then submitted to the Journal of Heart and Lung Transplantation. These guidelines have come to fruition due to the hard work and perseverance of many individuals.

These are the first independent, comprehensive and interdisciplinary patient management guidelines to be published on this specialized patient population. Further, what makes these guidelines unique is the global perspective brought by contributors from many different countries, reflecting the diverse composition of our society. Mechanical circulatory support is still in its relative infancy as a therapy, and these inaugural guidelines will surely serve as a springboard for future growth and research in this field.

On behalf of the ISHLT we would like to thank all those who reviewed and edited the document, but particularly all of our contributing authors for their valuable time and effort as well as our medical writer, Wendy Gattis Stough.