Epilogue: support devices for end stage heart failure.
The present approach to circulatory assist/replacement devices is to use them as rescue for a patient in shock while awaiting transplant. In the next decade, the paradigm will shift to a more widespread use of such devices in patients without subsequent transplantation. Achievement of the ultimate goals of improved survival and quality of life for patients with advanced heart disease may depend on the strategic use of support devices more frequently than on the total replacement heart.
Jessup
Mariell
M
Heart Failure/Transplantation Program, University of Pennsylvania Medical Center, 6 Penn Tower, 3400 Spruce Street, Philadelphia, PA 19104, USA. jessupm@uphs.upenn.edu
Brozena
Susan C
SC
D002304:Cardiac Pacing, Artificial / Q000379:methods; D006333:Heart Failure / Q000503:physiopathology / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D020127:Recovery of Function / Q000502:physiology