To ventricular assist devices or not:When is implantation of a ventricular assist device appropriate in advanced ambulatory heart failure?

To ventricular assist devices or not:When is implantation of a ventricular assist device appropriate in advanced ambulatory heart failure?

Advanced heart failure has been traditionally treated via either heart transplantation,continuous inotropes,consideration for hospice and more recently via left ventricular assist devices(LVAD).Heart transplantation has been limited by organ availability and the futility of other options has thrust...

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Bibliographic Details
Published in:World journal of cardiology Vol. 8; no. 12; pp. 695 - 702
Main Authors: Cerier, Emily, Lampert, Brent C, Kilic, Arman, McDavid, Asia, Deo, Salil V, Kilic, Ahmet
Format: Journal Article
Language:English
Published: United States Baishideng Publishing Group Inc 26-12-2016
Subjects:
Frontier
Heart failure
Left ventricular assist device
Diastolic dysfunction
Cardiomyopathy
Mechanical circulatory support
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Summary:Advanced heart failure has been traditionally treated via either heart transplantation,continuous inotropes,consideration for hospice and more recently via left ventricular assist devices(LVAD).Heart transplantation has been limited by organ availability and the futility of other options has thrust LVAD therapy into the mainstream of therapy for end stage heart failure.Improvements in technology and survival combined with improvements in the quality of life have made LVADs a viable option for many patients suffering from heart failure.The question of when to implant these devices in those patients with advanced,yet still ambulatory heart failure remains a controversial topic.We discuss the current state of LVAD therapy and the risk vs benefit of these devices in the treatment of heart failure.
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Telephone: +1-614-2938878 Fax: +1-614-2934726
Author contributions: All of the authors contributed to this manuscript.
Correspondence to: Ahmet Kilic, MD, Assistant Professor of Surgery, Division of Cardiac Surgery, The Ohio State University Wexner Medical Center, N-816 Doan Hall, 410 W. 10th Avenue, Columbus, OH 43210, United States. ahmet.kilic@osumc.edu
ISSN:1949-8462
1949-8462
DOI:10.4330/wjc.v8.i12.695