Author + information
- Received April 4, 2017
- Revision received June 11, 2017
- Accepted June 11, 2017
- Published online August 28, 2017.
- aDepartment of Medicine, Duke University School of Medicine, Durham, North Carolina
- bDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina
- ↵∗Address for correspondence:
Dr. Adam D. DeVore, Department of Medicine, Duke Clinical Research Institute, 400 Pratt Street, NP-8064, Durham, North Carolina 27705.
More than 2,400 continuous-flow left ventricular assist devices (LVADs) are implanted each year in the United States alone. Both the number of patients living with LVADs and the life expectancy of these patients are increasing. As a result, patients with LVADs are increasingly encountered by non-LVAD specialists who do not have training in managing advanced heart failure for general medical care, cardiovascular procedures, and other subspecialty care. An understanding of the initial evaluation and management of patients with LVADs is now an essential skill for many health care providers. In this State-of-the-Art Review, we discuss current LVAD technology, summarize our clinical experience with LVADs, and review the current data for the medical management of patients living with LVADs.
This paper was funded by the Duke Clinical Research Institute. Dr. DeVore has received research funding from American Heart Association, Amgen, and Novartis; and consults for Novartis. Dr. C.B. Patel consults for Heartware/Medtronic and Thoratec/Abbott. Dr. P.A. Patel has reported that he has no relationships relevant to the contents of this paper to disclose.
- Received April 4, 2017.
- Revision received June 11, 2017.
- Accepted June 11, 2017.
- 2017 American College of Cardiology Foundation
- Central Illustration
- Durable Left Ventricular Assist Device Use in 2017
- Current Durable LVADs and Equipment
- Patient Assessment
- Common and/or Serious LVAD Complications
- Unresponsive Patients and Cardiopulmonary Resuscitation
- Procedures for Patients on an LVAD