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Updated: Jun 15, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
CT of left ventricular assist devices
Carrie M Carr1, Jaisy Jacob, Soon J Park
1Department of Radiology, Department of Surgery, Division of Cardiovascular Surgery, and Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA. carr.carrie@mayo.edu
Left ventricular assist devices (LVADs) offer a vital solution for heart failure patients awaiting transplants. Understanding LVAD positioning and potential complications is crucial with their increasing use.
Area of Science:
- Cardiology
- Medical Devices
- Cardiac Surgery
Background:
- Left ventricular assist devices (LVADs) are critical for managing end-stage heart failure.
- Donor heart scarcity makes LVADs essential for transplantation, destination therapy, and myocardial recovery.
- Diverse LVAD models are currently in therapeutic use.
Purpose of the Study:
- To review the utilization of various LVADs at a single institution.
- To assess the normal positioning of different LVADs.
- To identify and understand potential complications associated with LVAD implantation.
Main Methods:
- Retrospective review of 42 patients who received 46 LVADs over 17 months.
- Analysis of computed tomography (CT) scans for 23 patients to evaluate device positioning.
- Examination of patient records for complications.
Main Results:
- The study involved 42 patients and 46 LVAD implantations.
- CT scans were performed on 23 patients to assess device placement.
- Common complications include cannula issues, hemorrhage, tamponade, thrombosis, and heart failure.
Conclusions:
- Increased LVAD use requires comprehensive knowledge of device positioning.
- Recognizing and managing LVAD-related complications is vital for patient care.
- This study highlights the importance of imaging and clinical monitoring for LVAD patients.
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