Role of long-term mechanical circulatory support in patients with advanced heart failure.

Abstract:

:Advanced heart failure represents a small proportion of patients with heart failure that possess high-risk features associated with high hospital readmission rates, significant functional impairment and mortality. Identification of those who have progressed to, or are near a state of advanced heart failure should prompt referral to a service that offers therapies in mechanical circulatory support (MCS) and cardiac transplantation. MCS has grown as a management strategy in the care of these patients, most commonly as a bridge to cardiac transplantation. The predominant utilisation of MCS is implantation of left ventricular assist devices (LVAD), which have evolved significantly in their technology and application over the past 15-20 years. The technology has evolved to such an extent that Destination Therapy is now being utilised as a strategy in management of advanced heart failure in appropriately selected patients. Complication rates have decreased with VAD implantation, but remain a significant consideration in the decision to implant a device, and in the follow up of these patients.

journal_name

Intern Med J

authors

Stokes MB,Bergin P,McGiffin D

doi

10.1111/imj.12817

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

530-40

issue

5

eissn

1444-0903

issn

1445-5994

journal_volume

46

pub_type

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