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DOI:10.2214/AJR.08.1918
AJR 2009; 193:W14-W24
© American Roentgen Ray Society

Review

Novel Treatment Options for Chronic Heart Failure: A Radiologist's Perspective

Prachi P. Agarwal1, Philip N. Cascade1 and Francis Pagani2

1 Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan Health System Cardiovascular Center, Rm. 5383, 1500 E Medical Center Dr., Ann Arbor, MI 48109-5868.
2 Department of Surgery, University of Michigan, Ann Arbor, MI.

OBJECTIVE. This article aims to familiarize radiologists with novel treatment options for chronic heart failure that is unresponsive to medical therapy, such as mechanical cardiac assist devices, surgical procedures, resynchronization therapy with biventricular pacing, and cellular cardiomyoplasty, and their radiographic appearances.

CONCLUSION. Heart transplantation as a treatment of debilitating heart failure provides an opportunity for meaningful long-term survival but is limited by a shortage of donor hearts. This has spurred the development of new treatment options for chronic heart failure that is unresponsive to medical therapy.

Keywords: cardiac devices • heart failure • radiographic appearance • treatment


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