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<p>Heart failure is being diagnosed with increasing frequency worldwide and progresses to an advanced, therapy-refractory stage in up to 24% of cases [<CitationRef CitationID="CR1">1</CitationRef>]. Heart transplantation remains the gold standard treatment for end-stage heart failure. However, the shortage of donor organs—particularly in Europe—and the ineligibility of many patients for transplantation have led to a growing demand for alternative therapeutic strategies. Long-term mechanical circulatory support has emerged as an established alternative, particularly in the form of left ventricular assist devices (LVADs), helping to bridge this treatment gap.</p><p>This review article presents the most commonly used durable mechanical circulatory support systems and describes their radiographic appearance on chest radiographs.</p><p>Chest X-ray is the first imaging modality performed in the immediate postoperative period and plays a central role during this phase. It allows for the early detection of complications related to LVAD implantation and the postoperative intensive care course.</p><p>.Echocardiography and computed tomography (CT), in contrast, are essential for preoperative assessment of suitability for implantation of a ventricular assist device or a total artificial heart (TAH), as well as for the evaluation of postoperative complications associated with cardiac support systems. Echocardiography and chest radiography are also routinely used in postoperative follow-up.</p>

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Kardiale Implantate auf Röntgenbildern

  • 期刊论文

  • 发表日期：

    2026年2月5日

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  • Alen Knezevic,
  • Carl Braun,
  • Darko Radakovic,
  • Michiel Morshuis,
  • Reinhard Zabel,
  • Alexander Petrovitch

摘要

Heart failure is being diagnosed with increasing frequency worldwide and progresses to an advanced, therapy-refractory stage in up to 24% of cases [1]. Heart transplantation remains the gold standard treatment for end-stage heart failure. However, the shortage of donor organs—particularly in Europe—and the ineligibility of many patients for transplantation have led to a growing demand for alternative therapeutic strategies. Long-term mechanical circulatory support has emerged as an established alternative, particularly in the form of left ventricular assist devices (LVADs), helping to bridge this treatment gap.

This review article presents the most commonly used durable mechanical circulatory support systems and describes their radiographic appearance on chest radiographs.

Chest X-ray is the first imaging modality performed in the immediate postoperative period and plays a central role during this phase. It allows for the early detection of complications related to LVAD implantation and the postoperative intensive care course.

.Echocardiography and computed tomography (CT), in contrast, are essential for preoperative assessment of suitability for implantation of a ventricular assist device or a total artificial heart (TAH), as well as for the evaluation of postoperative complications associated with cardiac support systems. Echocardiography and chest radiography are also routinely used in postoperative follow-up.