TY - JOUR
T1 - Left Ventricular Assist Devices
T2 - A Primer For the General Cardiologist
AU - Chaudhry, Sunit Preet
AU - Devore, Adam D.
AU - Vidula, Himabindu
AU - Nassif, Michael
AU - Mudy, Karol
AU - Birati, Edo Y.
AU - Gong, Timothy
AU - Atluri, Pavan
AU - Pham, Duc
AU - Sun, Benjamin
AU - Bansal, Aditya
AU - Najjar, Samer S.
N1 - Publisher Copyright:
© 2022 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.
PY - 2022/12/20
Y1 - 2022/12/20
N2 - Durable implantable left ventricular assist devices (LVADs) have been shown to improve survival and quality of life for patients with stage D heart failure. Even though LVADs remain underused overall, the number of patients with heart failure supported with LVADs is steadily increasing. Therefore, general cardiologists will increasingly encounter these patients. In this review, we provide an overview of the field of durable LVADs. We discuss which patients should be referred for consideration of advanced heart failure therapies. We summarize the basic principles of LVAD care, including medical and surgical considerations. We also discuss the common complications associated with LVAD therapy, including bleeding, infections, thrombotic issues, and neurologic events. Our goal is to provide a primer for the general cardiologist in the recognition of patients who could benefit from LVADs and in the principles of managing patients with LVAD. Our hope is to “demystify” LVADs for the general cardiologist.
AB - Durable implantable left ventricular assist devices (LVADs) have been shown to improve survival and quality of life for patients with stage D heart failure. Even though LVADs remain underused overall, the number of patients with heart failure supported with LVADs is steadily increasing. Therefore, general cardiologists will increasingly encounter these patients. In this review, we provide an overview of the field of durable LVADs. We discuss which patients should be referred for consideration of advanced heart failure therapies. We summarize the basic principles of LVAD care, including medical and surgical considerations. We also discuss the common complications associated with LVAD therapy, including bleeding, infections, thrombotic issues, and neurologic events. Our goal is to provide a primer for the general cardiologist in the recognition of patients who could benefit from LVADs and in the principles of managing patients with LVAD. Our hope is to “demystify” LVADs for the general cardiologist.
KW - chronic systolic heart failure
KW - end stage heart failure
KW - left ventricular assist device
KW - mechanical circulatory support
KW - stage D heart failure
UR - http://www.scopus.com/inward/record.url?scp=85144588772&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85144588772&partnerID=8YFLogxK
U2 - 10.1161/JAHA.122.027251
DO - 10.1161/JAHA.122.027251
M3 - Review article
C2 - 36515226
AN - SCOPUS:85144588772
SN - 2047-9980
VL - 11
JO - Journal of the American Heart Association
JF - Journal of the American Heart Association
IS - 24
M1 - e027251
ER -