Digital Commons Network^™

Implanted Hemodynamic Monitoring In Management Of Significant Right Heart Failure Before And After Lvad Implantation: Creation And Maintenance Of Fontan Physiology In Severe Rv Dysfunction, Kevin Yei, Casey Kaisi, Rajeev Mohan, Ajay Srivastava, J Thomas Heywood

The VAD Journal

In the left ventricular assist device (LVAD) population, right ventricular (RV) failure represents a significant cause of morbidity and mortality. It is unclear whether hemodynamic monitoring with the implantable CardioMEMS system can improve outcomes within this population. This case report highlights two patients in our clinic who had CardioMEMS implanted after LVAD, enabling us to modify their medical regimens remotely and more frequently in the management of their RV failure.

Restoration Of Left Ventricular Function Following Lvad Implantation – Remission Or Recovery? A Case Series., Shiksha Joshi, Mariah Barlow, Maya Guglin

The VAD Journal

Background

A wide range of left ventricular (LV) recovery rates on left ventricular assist device (LVAD) support have been reported. In this case series, we summarize our experience with LVAD explantation for presumed LV recovery.

Case series

Out of 240 patients who received an LVAD implant in our program since its inception, we explanted/inactivated the pump for presumed LV recovery in only three patients. All three of these patients had relapse of cardiomyopathy within 6 months of explantation.

Conclusion

Our experience does not support the existence of LV recovery following LVAD implantation as a common phenomenon. Improvement in LV function …

De-Airing Method Of An Axial Flow Left Ventricular Assist Device Influences Post-Operative Lactate Dehydrogenase Levels: A Possible Explanation For Some Episodes Of Pump Thrombosis, Daizo Tanaka, Saif Rizvi, Andrew Boyle, Md, John W..C. Entwistle

The VAD Journal

Background

Pump thrombosis (PT) is a relatively uncommon but serious complication of a left ventricular assist device (LVAD). We believe that de-airing of the HeartMate II (HMII) with the pump turned on and a clamp across the outflow graft may lead to early thrombus formation due to heat generation on the bearings.

Methods

Patients who underwent HMII implantation from November 2012 to February 2016 were retrospectively reviewed. Patients were separated into two groups depending on the timing of removing the clamp from the outflow graft. Patients in Group 1 underwent de-airing by turning on the pump with the vascular clamp …

A Modified Access Technique Of Impella 5.0 Axillary Artery Insertion, Abdallah Alameddine, Brian J. Binnall, Eric Dibiasio-White, Khaled Alameddine

The VAD Journal

The conventional method for the axillary artery insertion of Impella 5.0 is a non-tunneling route of the side-graft. We present an alternative technique in order to facilitate device insertion and to ensure protection from potential wound contamination. The technique consists of exiting the graft separately and away from the main incision with an intact skin and subcutaneous fat between the two sites. By proper isolation of the main wound, the risk of infection can thus be largely mitigated. Furthermore, this technique allows a better landing entry angle of graft insertion; the resulting smoother curve trajectory leads to facile device insertion, …

Effects Of Beta Blockers And Ace Inhibitors After Left Ventricular Assist Device Implantation, Gaurang Vaidya, Emma Birks, Jessica Pillarella, Benjamin Salgado, Rajakrishnan Vijayakrishnan, Andrew Lenneman, Mark Slaughter, Dmitry Abramov

The VAD Journal

Purpose: While Beta blockers(BB) and Angiotensin system blockers(ACEinh/ARB) are important components in advanced heart failure therapy, their use after left ventricular assist device (LVAD) implantation remains controversial. Concern has been raised about possible adverse effects of BB on right ventricular(RV) function while tolerance and efficacy/outcome data for ACEinh are lacking. This study aimed to characterize the use of medical therapy post-LVAD implantation and to evaluate its safety and efficacy. Methods: Demographic, clinical and echocardiographic variables of patients implanted with a continuous-flow LVAD between 2012 and 2015 at a single center were retrospectively reviewed. Mortality and heart failure(CHF) hospitalizations were followed …

Electrocardiographic Characteristics, Antiarrhythmic Utilization, And Outcomes In Patients With Left Ventricular Assist Devices, Scott Lundgren, Elizabeth Lyden, Douglas Stoller, Marshall Hyden, Adam Burdorf, Ronald Zolty, John Um, Brian Lowes

The VAD Journal

Background: Left ventricular assist devices (LVAD) are an increasingly used therapy for patients with advanced heart failure. Arrhythmias are common complications following LVAD implantation requiring admission, initiation, and escalation of medical therapy. Despite their frequent use in the treatment of arrhythmias, little has been reported regarding electrocardiographic changes, antiarrhythmic utilization, and outcomes post-LVAD.

Methods: A total of 309 patients who received a LVAD underwent retrospective chart review pre- and post-LVAD. Kaplan-Meier curves were calculated and compared using the log-rank test. Cox regression model was used for univariate analysis and those with a p

Results: There was a significant reduction in …

Safety And Efficacy Of Routine Bridging Anticoagulation For Subtherapeutic Anticoagulation In Outpatients With A Left Ventricular Assist Device, David C. Shisler, Gaurang N. Vaidya, Lori Muncy, Rajakrishnan Vijayakrishnan, Mark S. Slaughter, Emma J. Birks, Dmitry Abramov

The VAD Journal

Background

Anticoagulation with vitamin K antagonists is vital to prevent pump thrombosis in patients with left ventricular assist devices (LVADs). However, the safety and efficacy of bridging anticoagulation for the routine management of subtherapeutic international normalized ratio (INR) in stable outpatients remains poorly characterized.

Methods

In this retrospective study, a total of 60 LVAD outpatients had 110 episodes of subtherapeutic INR noted on routine testing. 34 of these episodes were managed with parenteral bridging anticoagulation and 76 were managed with only an adjusted dose of warfarin. The rates of bleeding and thromboembolic adverse events following these episodes of subtherapeutic INR …

Exploring The “Weekend Effect” On The Care Of Patients With Left Ventricular Assist Devices, Gbolahan O. Ogunbayo, Le Dung Ha, Naoki Misumida, Ayman Elbadawi, Qamar Ahmad, Remi Okwechime, Deborah Akanya, Andrew Kolodziej, Claude S. Elayi, Maya E. Guglin

The VAD Journal

Many studies have described differences in in-hospital outcomes and length of stay between patients treated for major cardiac conditions on weekdays versus weekends.¹ Our study aimed to explore the “weekend effect” on in-hospital care among patients with left ventricular assist devices.

Using data from the National Inpatient Sample (NIS) database, with a weighted estimate of more than 35 million admissions per year.² We identified patients 18 years or older with an ICD code signifying presence of a LVAD. Characteristics, comorbidities and clinical outcomes were compared between patients admitted on a weekend versus patients admitted on a weekday. The …

Library, Jessy Randall, Briget Heidmous

disClosure: A Journal of Social Theory

“Library” is a visual poem from Mapping Project, a collaborative effort of Jessy Randall and Briget Heidmous. Jessy writes words and Briget draws.

http://www.briget-heidmous.com/mapping-project/

A Reckless Verisimilitude: The Archive In James Ellroy’S Fiction, Bradley J. Wiles

disClosure: A Journal of Social Theory

The archive as both plot element and narrative presentation factors significantly into the work of James Ellroy’s novels in the L.A. Quartet and USA Underworld Trilogy series. This article examines the important role of the archive as a source of information and evidence that Ellroy’s characters utilize in their attempts at either maintaining or attacking the status quo. Through these novels, Ellroy conveys the potential power archives wield over the trajectory of history and our understanding of it by demonstrating how the historical record is often shaped in favor of the powerful. Yet even if the archive is a manifestation …

Editors’ Preface And Acknowledgements, Sophonie Bazile, Christine L. Woodward, Zachary Griffith

disClosure: A Journal of Social Theory

No abstract provided.

Traditional Knowledge And Digital Archives: An Interview With Kim Christen, Kimberly Christen, Leslie Davis, Zachary Griffith, Jacob Neely

disClosure: A Journal of Social Theory

Dr. Kim Christen is a Professor in the Department of English, the Director of the Digital Technology and Culture Program, the Director of the Center for Digital Scholarship and Curation, and the Director of Digital Initiatives for the College of Arts and Sciences at Washington State University. Christen is also the Director of the Plateau Peoples’ Web Portal, a collaboratively curated site of Plateau cultural materials; Mukurtu CMS, a content management system and community digital archive platform built around the particular needs of indigenous peoples globally; and co-Director with Jane Anderson of Local Contexts, an educational website for innovative traditional …

Gonna Die (Poem), Wes Grooms

disClosure: A Journal of Social Theory

No abstract provided.

The Meadow And The Archive, Kris Bronstad

disClosure: A Journal of Social Theory

“The Meadow and the Archive” is a short fictional story about a government archives branch operating in a totalitarian empire in which components of the natural world have been eradicated. Archivists observe and assist a woman whom manages to liberate an important element from a particular collection. It is hoped that this element will contain the beginnings of a wilderness that the empire has systematically worked to destroy. The transaction also offers hope for other subversive modes of archival use.

Categories As Archives: From Silence To Social Justice: An Interview With Jorge Cañizares-Esguerra, Jorge Cañizares-Esguerra, Sophonie Bazile, Juan Fernandez Cantero, Jess Linz

disClosure: A Journal of Social Theory

Dr. Jorge Cañizares-Esguerra is the Alice Drysdale Sheffield Professor of History at the University of Texas at Austin. He is the author of several books, including How to Write the History of the New World: Histories, Epistemologies, and Identities in the Eighteenth-century Atlantic World (2001), Puritan Conquistadors: Iberianizing the Atlantic, 1550-1700 (2006), and Nature, Empire, and Nation: Explorations of the History of Science in the Iberian World (2007). Cañizares-Esguerra is currently working on two book-length projects: Categories as Prisons, which explores how historiographical categories organize what questions about the past are permissible and therefore how archives and narratives are …

The Death Of Professor Jones: Ghosts And Memory In A Small University Archives, Erin Dix

disClosure: A Journal of Social Theory

The following is a true story of hauntings, literal and figurative, at a small liberal arts college in the Midwest. It is the tale of Haunted Lawrence: a walking tour of the Lawrence University campus featuring historical stories of the ghostly and unexplained, designed and led by staff in the University Archives for the past ten years. Perennially popular with the campus community, the tour has grown to plague the university archivist. This essay is an attempt to exorcise her personal Haunted Lawrence demons.

Queering The Archive: Transforming The Archival Process, Lizeth Zepeda

disClosure: A Journal of Social Theory

The purpose of this work is to recognize the lack of queer of color lens within the archival profession that determines the appraisal, preservation, and impeding access. Queering the archive transforms the institution with possibilities of inclusivity for social justice and the rewriting of histories. Traditionally, the archival institution has reaffirmed hegemonic power structures by erasing and ignoring histories of marginalized communities. A way to disrupt this is to queer these archival institutions to confront these power dynamics and make interventions against the racist, sexist, classist and heterosexist structures that maintain them. Thus, this paper focuses on how processing through …

Images, Silences, And The Archival Record: An Interview With Michelle Caswell, Michelle Caswell, Harrison Cole, Zachary Griffith

disClosure: A Journal of Social Theory

Dr. Michelle Caswell is an Associate Professor of Archival Studies in the Department of Information Studies at the University of California, Los Angeles, where she is also an affiliated faculty member with the Department of Asian American Studies and the Center for Southeast Asian Studies. Her book, Archiving the Unspeakable: Silence, Memory, and the Photographic Record in Cambodia (2014), which explores the role of archives and records in the construction of memory about the Khmer Rouge in Cambodia through a collection of mug shots taken at Tuol Sleng prison, won the 2015 Waldo Grifford Leland award for Best Publication from …

Togetherness With The Past: Literary Pedagogy And The Digital Archive, Madeline B. Gangnes

disClosure: A Journal of Social Theory

Archival materials are invaluable to an understanding of the historical, cultural, and material contexts in which literary texts were published. Materiality, paratextual elements, and other key characteristics of literature cannot be discerned from recent editions. Yet original and rare versions of literary texts are difficult or impossible for most scholars, let alone their students, to access. Digital facsimiles provide opportunities to examine archival texts over the Internet, alleviating logistical and financial barriers. In Dust: The Archive and Cultural History (2001), Carolyn Steedman writes: “The Archive is a place in which people can be alone with the past” (81); archives are …

Volume 27: Archives, Sophonie Bazile, Christine L. Woodward, Zachary Griffith

disClosure: A Journal of Social Theory

The 2017-2018 Editorial Collective is pleased to present the 27th volume of disClosure: A Journal of Social Theory.

Over the past year, we have compiled an exciting collection of interviews, scholarly articles, poetry, and fiction that explore the volume’s central theme: “Archives.” Archives are dynamic constellations of absence and presence, ghosts and ghouls, dust and the digital. As such, discussions of archives stretch into multiple schools of thought and practice, raising questions about power, knowledge, memory, community, and social justice. The works collected here, each one employing its own theoretical and methodological approach to archives, contribute to these important …

Holodomor, Taylor Diken

disClosure: A Journal of Social Theory

No abstract provided.

Queer Lives In Archives: Intelligibility And Forms Of Memory, Gina Watts

disClosure: A Journal of Social Theory

Exploring queer archives through a variety of texts and case studies, this paper seeks to understand three primary themes: the departure of traditional archival theory in queer archives, the absence of records and what they might mean for queer history, and a conception of queer time and space contributed to by archival records. Together, these suggest a specific form of intelligibility and memory available to people identifying as queer through the existence of these communal archives, one which reaffirms a history that some were determined to bury and which challenges and expands typical understandings of activism in the archival profession. …

A Word About The Cover Art, Sophonie Bazile, Christine L. Woodward, Zachary Griffith

disClosure: A Journal of Social Theory

No abstract provided.

Place, Memory, And Archive: An Interview With Karen Till, Karen Till, Emily Kaufman, Christine L. Woodward

disClosure: A Journal of Social Theory

Dr. Karen Till is Professor of Cultural Geography at Maynooth University, director of the Space & Place Research Collaborative (Ireland), and founding co-Convener of the Mapping Spectral Traces international network of artists, practitioners, and scholars. Till’s 2005 book, The New Berlin: Memory, Politics, Place, explores German memory and modernity, showing how places and spaces exemplify the contradictions and tensions of social memory and national identity. Her current book in progress, Wounded Cities, is based upon geo-ethnographic research in Berlin, Bogotá, Cape Town, Dublin, Minneapolis, and Roanoke. It highlights the significance of placebased memory work and ethical forms of care …

Three Poems, Wendy Burk, Julie Swarstad Johnson, Sarah Kortemeier

disClosure: A Journal of Social Theory

These three works of visual art and poetry emerged from our professional experience as librarians and poets at The University of Arizona Poetry Center, a special collection of contemporary poetry housed in a public university. Frequently described as a “living archive,” the Poetry Center’s library houses both open stacks designed for browsing and closed stacks containing archival collections related to contemporary poetry. Our collections, building, and everyday work, as seen through the alternate lens of our identities as writers and artists, comprise the subjects of our collaborative assemblages. We began by generating a list of questions that became the titles …

To Un-Become: Between Historic Reminder And Hallucination, Geographical Document And Childhood Memory, Collective Tragedy And Personal Healing, Saša Rajšić

disClosure: A Journal of Social Theory

To Un-Become: Between Historic Reminder and Hallucination, Geographical Document and Childhood Memory, Collective Tragedy and Personal Healing is an multimedia art project, which explores the concept of un-becoming through revisiting Operation Storm in Yugoslavia and its consequences over two decades later. My interest in the concept of un-becoming was sparked by a court case in which General Ante Gotovina, a former Croatian military officer, was found guilty of organizing and implementing a permanent and forcible removal of the Serbian people in a 1995 military action entitled Operation Storm. Not long after, Gotovina’s convictions for crimes against humanity were reversed by …

Cruising The Library, Kathryn Mcclain, Jennifer Murray

disClosure: A Journal of Social Theory

No abstract provided.

People Of The Stacks: ‘The Archivist’ Character In Fiction, Sharon Wolff

disClosure: A Journal of Social Theory

Archives and archival professionals suffer from what may be termed as an “image problem” due to their general lack of exposure to the public. With their efforts being tucked away in various repositories, their fictional representatives become an important way to give people an idea of what they do. With the help of an article by Arlene Schmuland, two works of fiction, People of the Book by Geraldine Brooks from 2008 and The Archivist by Martha Cooley from 1998, are used to compare fictional archivists and the ways their differences may indicate a change in how their real-life counterparts are …

Subjectivity And Methodology In The Arch‘I’Ve, Elizabeth J. Vincelette

disClosure: A Journal of Social Theory

This article explores methodologies from the fields of library archival science, human geography, composition and rhetoric, and established editorial practices in English studies. By elaborating on the role of a researcher’s subjectivity in archival creation, this work expands the conversation regarding methodology and archives, especially how archives present us with new ways of seeing and making narratives during the editorial decision-making involved in their creation. Writing about my own experience, I privilege the researcher’s point of view with a narrative about my construction of a digital archive. With archival research, we should promote the revelation of methods and methodology to …

Seeking Glimpses: Reflections On Doing Archival Work, Alex Hanson, Stephanie Jones, Thomas Passwater, Noah Wilson

disClosure: A Journal of Social Theory

This article explores the role of archival research in understanding and generating social histories from the perspectives of four different doctoral students as they reflect on their archival research experiences. We argue that archival research is complex, subjective, contextual, and at times, incomplete. Our various perspectives address ideas of privilege, representation, what it means to remember (or forget), how archives are constituted and reconstituted, and where we can make meaning in archival spaces. This article demonstrates that although archival research has had a presence in Composition and Rhetoric for some time, that presence is continually shifting, and even when embarking …