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Mechanical circulatory assist devices
1Department of Anesthesia and Critical Care Medicine, University of Pittsburgh, PA, USA.
Journal of Intensive Care Medicine
|December 9, 1995
Summary
Ventricular assist devices (VADs) are mechanical pumps improving outcomes for heart failure patients. This review covers VADs for myocardial recovery, bridging to transplant, and permanent solutions.
Area of Science:
- Cardiology
- Mechanical Circulatory Support
Background:
- Ventricular assist devices (VADs) are mechanical pumps that support or replace failing heart ventricles.
- Recent advancements have significantly improved understanding of VADs' roles and limitations in treating cardiogenic shock.
Purpose of the Study:
- To review the indications, complications, management, and outcomes of VADs.
- To describe available VADs in the United States, highlighting their features and limitations.
Main Methods:
- Literature review of VADs in postcardiotomy, bridge to recovery, and bridge to transplantation settings.
- Analysis of VAD technology, including univentricular and biventricular support systems.
Main Results:
- VADs enable myocardial recovery and survival in cardiogenic shock.
- Long-term VADs facilitate successful bridging to heart transplantation and permanent ventricular replacement.
Conclusions:
- VADs are crucial tools for managing end-stage heart failure.
- Understanding VAD specifics is vital for optimizing patient outcomes and device selection.