Systemic consequences of ventricular assist devices: alterations of coagulation, immune function, inflammation, and the neuroendocrine system.

Abstract:

:Implantable ventricular assist devices have proven efficacious as a bridge to transplantation and as a bridge to recovery. Although current indications for use of assist devices are somewhat limited, they are likely to expand in the upcoming years, including their use as destination therapy for end-stage heart failure. Recipients of assist devices, however, are prone to certain device-specific complications, including excessive postoperative bleeding, late propensity for thromboembolism, infections, and systemic inflammation, which may contribute to end-organ dysfunction. This article reviews the systemic biochemical alterations underlying these clinical phenomena. As assist devices are increasingly used, better understanding of these systemic perturbations is imperative.

journal_name

Artif Organs

journal_title

Artificial organs

authors

Hampton CR,Verrier ED

doi

10.1046/j.1525-1594.2002.07122.x

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

902-8

issue

11

eissn

0160-564X

issn

1525-1594

pii

aor7122

journal_volume

26

pub_type

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