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Related Experiment Video

Updated: Jun 1, 2026

Implantation of Left Ventricular Assist Device (LVAD) in Juvenile Landrace Swine: A LVAD Implantation Model of Pediatric Heart Failure

Implantation of Left Ventricular Assist Device (LVAD) in Juvenile Landrace Swine: A LVAD Implantation Model of Pediatric Heart Failure

Published on: January 16, 2026

Ethical considerations for ventricular assist device support: a 10-point model.

Ralph J Petrucci¹, Lynne A Benish, Barbara L Carrow

¹Department of Psychiatry, Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, Pennsylvania 19102, USA. Ralph.Petrucci@drexelmed.edu

ASAIO Journal (American Society for Artificial Internal Organs : 1992)

|June 7, 2011

Summary

Ventricular assist device (VAD) long-term support presents ethical challenges. A new 10-point model addresses patient adaptation and psychosocial needs for bridge-to-transplant and destination therapy VAD patients.

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Implantation of Left Ventricular Assist Device (LVAD) in Juvenile Landrace Swine: A LVAD Implantation Model of Pediatric Heart Failure

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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

Area of Science:

Cardiology
Medical Ethics
Psychosocial Support

Background:

Long-term ventricular assist device (VAD) support for bridge-to-transplant (BTT) and destination therapy (DT) introduces significant ethical and psychosocial challenges.
Patients and caregivers face adaptation issues related to mechanical circulatory support and its implications.

Purpose of the Study:

To present a comprehensive 10-point model for addressing the ethical and psychosocial needs of patients receiving VADs.
To guide healthcare providers in preparing patients for VAD implantation and long-term support.

Main Methods:

Development of a three-phase patient preparation model based on experience with 175 VAD patients.
Phases include initial information, pre-implant preparation (advance directives, competency), and end-of-life considerations.

Main Results:

The model systematically addresses ethical, clinical, and practical issues associated with VAD therapy.
It facilitates discussions on device replacement, palliative care, and withdrawal preferences.

Conclusions:

This structured approach enhances patient and caregiver preparedness for VAD implantation and long-term mechanical support.
Proactive ethical and psychosocial management is crucial for successful VAD outcomes.