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Updated: Aug 23, 2025

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Does Everyone Need High Technology Intervention Before They Die?
Nicholas G Smedira1, Richard I Whyte2, Robert M Sade3
1Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Heart and Vascular Institute, Cleveland, Ohio.
Abstract:
A persistent problem in cardiothoracic surgery, as in all of medicine, is when to offer or to withhold expensive technologies. The ethical requirement of balancing harms and benefits is often difficult to achieve. The use of LVADs is an example of such technologies, and when to offer it is explored in this paper.
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