title: Advanced heart failure: transplantation, LVADs, and beyond.
abstract: For patients with advanced heart failure, outcomes are good after heart transplantation, but not enough donor hearts are available. Fortunately, mechanical circulatory assist devices have become an excellent option and should be considered either as a bridge to transplantation or as "destination therapy." Current mechanical circulatory assist devices improve quality of life in patients who are candidates.
authors.affiliation: FACC, Kaufman Center for Heart Failure, Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH 44195, USA. starlir@ccf.org
authors.forename: Randall C
authors.initials: RC
authors.lastname: Starling
mesh_terms: D006333:Heart Failure / Q000628:therapy*; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D012720:Severity of Illness Index; D016896:Treatment Outcome