Current state of ventricular assist devices

Marco Caccamo, Peter M Eckman, Ranjit John

Research output: Contribution to journalArticlepeer-review

45 Scopus citations

Abstract

Left ventricular assist device (LVAD) support is an accepted treatment of patients with end-stage heart failure. The increased applicability and excellent results with LVADs have revolutionized the treatment options available for such patients. Success with LVADs as bridge-to-transplant therapy has led to their successful use as an alternate to a transplant (ie, as destination therapy [DT]). The use of these devices as DT represents a relatively newer but growing indication. Until recently, most patients who have undergone LVAD implantation have been supported by pulsatile devices. Newer continuous-flow (CF) pumps have resulted in superior outcomes, including significantly reduced complication rates with improved durability over first-generation pulsatile design pumps. However, as with all new technology, the newer LVADs have introduced management challenges that were either unimportant or absent with pulsatile LVADs. This article reviews the current state of left ventricular devices, focusing on the CF pumps that currently dominate the field, including clinical outcomes, the physiologic and pathologic effects that are associated with CF pumps, and their unique management issues and complications.

Original languageEnglish (US)
Pages (from-to)91-98
Number of pages8
JournalCurrent Heart Failure Reports
Volume8
Issue number2
DOIs
StatePublished - Jun 1 2011

Keywords

  • Bridge to transplant
  • Complications
  • Continuous-flow device
  • Destination therapy
  • Device
  • Heart failure
  • Heart transplantation
  • LVAD
  • Left ventricular assist device
  • Mechanical support
  • Pulsatile-flow device

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