Current status of the implantable LVAD.
With the ongoing shortage of available organs for heart transplantation, mechanical circulatory support devices have been increasingly utilized for managing acute and chronic heart failure that is refractory to medical therapy. In particular, the introduction of the left ventricular assist devices (LVAD) has revolutionized the field. In this review, we will discuss a brief history of the LVAD, available devices, current indications, patient selection, complications, and outcomes. In addition, we will discuss recent outcomes and advancements in the field of noncardiac surgery in the LVAD patient. Finally, we will discuss several topics for surgical consideration during LVAD implantation.
Department of Surgery, Temple University School of Medicine, 3401 North Broad Street, Philadelphia, PA, 19140, USA. sagar.kadakia@tuhs.temple.edu.
Sagar
S
Kadakia
Department of Surgery, Temple University School of Medicine, 3401 North Broad Street, Philadelphia, PA, 19140, USA.
Ryan
R
Moore
Department of Surgery, Temple University School of Medicine, 3401 North Broad Street, Philadelphia, PA, 19140, USA.
Vishnu
V
Ambur
Department of Cardiac Surgery, Temple University School of Medicine, 3401 North Broad Street, Philadelphia, PA, 19140, USA.
Yoshiya
Y
Toyoda
D002986:Clinical Trials as Topic; D006333:Heart Failure / Q000601:surgery*; D016027:Heart Transplantation; D006353:Heart-Assist Devices / Q000009:adverse effects / Q000639:trends*; D006801:Humans; D018579:Patient Selection; D011183:Postoperative Complications / Q000209:etiology; D019106:Postoperative Hemorrhage / Q000209:etiology; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000209:etiology; D020521:Stroke / Q000209:etiology; D013927:Thrombosis / Q000209:etiology
Bridge to candidacy; Bridge to recovery; Bridge to transplantation; Destination therapy; LVAD