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Mechanical Circulatory Support as a Bridge to Recovery 

Mechanical Circulatory Support as a Bridge to Recovery
Chapter:
Mechanical Circulatory Support as a Bridge to Recovery
Author(s):

Thomas C. Hanff

, Joyce Wald

, and J. Eduardo Rame

DOI:
10.1093/med/9780190909291.003.0044
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date: 04 June 2020

LVAD therapy has traditionally been viewed as a bridge to transplant or destination therapy strategy. However, an exciting new area of research has reopened the door to using these devices as a bridge to recovery. The RESTAGE-HF trial was designed to evaluate the potential for a recovery protocol to achieve successful explantation of the device. The early results from this trial suggest that a protocol including optimal medical therapy in the setting of LVAD therapy may allow for explantation in many cases with durable recovery. This chapter outlines the concepts and data surrounding this important area of study.

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