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Related Experiment Videos

Circulatory assist devices 2000: an update.

D BS Dyke1, F D Pagani, K D Aaronson

  • 1Division of Cardiology, University of Michigan Health System, Ann Arbor, MI 48109.

Congestive Heart Failure (Greenwich, Conn.)
|August 22, 2002
PubMed
Summary
This summary is machine-generated.

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Mechanical circulatory assist devices, including left ventricular assist devices, are increasingly used for heart transplantation and recovery. This review covers their current applications, device types, and future prospects.

Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Medical Devices

Background:

  • Mechanical circulatory assist devices (MCADs) have been clinically utilized since the late 1960s, primarily as a bridge to cardiac transplantation.
  • The first totally artificial heart for permanent therapy was implanted in 1982, though its use is now limited.
  • A notable shift has occurred towards left ventricular assist devices (LVADs) for bridging patients to transplantation.

Purpose of the Study:

  • To provide essential information on the current clinical applications of MCADs.
  • To discuss the use of ventricular assist devices (VADs) as a bridge to recovery for various cardiac conditions.
  • To review MCADs in the context of transplantation, recovery, and permanent therapy.

Main Methods:

  • This review synthesizes existing literature and clinical data on mechanical circulatory support.

Related Experiment Videos

  • It describes individual MCADs, their indications, and optimal implantation timing.
  • Associated complications and management strategies are also addressed.

    • Main Results:

    • LVADs are increasingly favored for bridging to cardiac transplantation.
    • VADs show growing promise for myocardial recovery in conditions like myocarditis and dilated cardiomyopathy.
    • The review details device specifics, implantation criteria, and management of related issues.

    Conclusions:

    • Mechanical circulatory assist devices play a crucial role in managing end-stage heart failure.
    • The trend is towards VADs for both transplantation and recovery, with ongoing advancements.
    • Future developments in MCADs are expected to further enhance patient outcomes.