Decision-Making for Destination Therapy Left Ventricular Assist Devices
نویسندگان
چکیده
منابع مشابه
Left ventricular assist devices as destination therapy.
Although an estimated 16,500 Americans annually could benefit from a heart transplant, in 1999 only 2184 heart transplants were performed in the United States. These statistics emphasize the severity of the shortage of available hearts for transplantation. Circulatory support provided by an implantable Left Ventricular Assist Device (LVAD) that meets Food and Drug Administration approval as des...
متن کاملDecision-making for destination therapy left ventricular assist devices: implications for caregivers.
BACKGROUND Implanting centers often require the identification of a dedicated caregiver before destination therapy left ventricular assist device (DT LVAD) implantation; however, the caregiver experience surrounding this difficult decision is relatively unexplored. METHODS AND RESULTS From October 2012 through July 2013, we conducted semistructured, in-depth interviews with caregivers of pati...
متن کاملPalliative medicine consultation for preparedness planning in patients receiving left ventricular assist devices as destination therapy.
OBJECTIVE To assess the benefit of proactive palliative medicine consultation for delineation of goals of care and quality-of-life preferences before implantation of left ventricular assist devices as destination therapy (DT). PATIENTS AND METHODS We retrospectively reviewed the cases of patients who received DT between January 15, 2009, and January 1, 2010. RESULTS Of 19 patients identifie...
متن کاملLeft ventricular assist devices as destination therapy for end-stage heart failure.
In the therapy of advanced heart failure, left ventricular assist devices represent an exciting new option. The role of mechanical circulatory support is currently limited predominantly by factors related to device durability. The population for whom mechanical circulatory support can be considered as permanent therapy is defined by those for whom improvement in survival and clinical function i...
متن کاملOutcomes in advanced heart failure patients with left ventricular assist devices for destination therapy.
BACKGROUND The HeartMate II (HMII) destination therapy (DT) trial demonstrated significant improvements in outcomes in continuous-flow left ventricular assist devices compared with patients implanted with the pulsatile-flow HeartMate XVE. The primary hypothesis of the current study is that trial patients enrolled after the initial data cohort would have better clinical outcomes. METHODS AND R...
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ژورنال
عنوان ژورنال: Circulation: Cardiovascular Quality and Outcomes
سال: 2015
ISSN: 1941-7713,1941-7705
DOI: 10.1161/circoutcomes.114.001276