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Deactivation of LVAD support for myocardial recovery—surgical perspectives
Ist Teil von
The Journal of heart and lung transplantation, 2024-09, Vol.43 (9), p.1489-1500
Ort / Verlag
United States: Elsevier Inc
Erscheinungsjahr
2024
Quelle
MEDLINE
Beschreibungen/Notizen
Left ventricular assist devices (LVADs) are excellent therapies for advanced heart failure patients either bridged to transplant or for lifetime use. LVADs also allow for reverse remodeling of the failing heart that is often associated with functional improvement. Indeed, growing enthusiasm exists to better understand this population of patients, whereby the LVAD is used as an adjunct to mediate myocardial recovery. When patients achieve benchmarks suggesting that they no longer need LVAD support, questions related to the discontinuation of LVAD therapy become front and center. The purpose of this review is to provide a surgical perspective on the practical and technical issues surrounding LVAD deactivation.