Left ventricular assist devices exchange: why, when and how to do it-experience from experts

Left ventricular assist devices (LVAD) became a routine instrument in the treatment of severe heart failure with constantly increasing number of patients treated with LVAD (1). Continuous technical development and large empirical knowledge in this field has led to a very high reliability and excelle...

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Main Authors: Schmack, Bastian (Author) , Sabashnikov, Anton (Author) , Weymann, Alexander (Author) , Zeriouh, Mohamed (Author) , Koch, Achim (Author) , Ruhparwar, Arjang (Author) , Simon, André R. (Author) , Popov, Aron-Frederik (Author)
Format: Article (Journal)
Language:English
Published: 2019
In: Journal of thoracic disease
Year: 2019, Volume: 11, Pages: 963-966
ISSN:2077-6624
DOI:10.21037/jtd.2018.11.122
Online Access:Verlag, Volltext: https://doi.org/10.21037/jtd.2018.11.122
Verlag, Volltext: http://jtd.amegroups.com/article/view/25941
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Author Notes:Bastian Schmack, Anton Sabashnikov, Alexander Weymann, Mohamed Zeriouh, Achim Koch, Arjang Ruhparwar, Andre Ruediger Simon, Aron Frederik Popov
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Summary:Left ventricular assist devices (LVAD) became a routine instrument in the treatment of severe heart failure with constantly increasing number of patients treated with LVAD (1). Continuous technical development and large empirical knowledge in this field has led to a very high reliability and excellent long-term results (MOMENTUM III). Recently published results for the first time reported even better 2-year survival in LVAD compared to heart transplantation (HTx) (2). However, there is an inevitable risk of device failure alongside which may result in the need for device exchange. Mainly three causes are associated with the need for exchange, specifically (in the order of frequency) (I) device thrombosis, (II) infection and (III) device malfunction.
Item Description:Gesehen am 23.07.2019
Physical Description:Online Resource
ISSN:2077-6624
DOI:10.21037/jtd.2018.11.122