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Ventricular assist devices 

Ventricular assist devices
Chapter:
Ventricular assist devices
Author(s):

A Rosenberg

DOI:
10.1093/med/9780199209101.003.21
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date: 05 July 2020

Principles 298

Indications 299

Types of VADs 300

Anaesthetic management during VAD placement 302

Complications 304

Further reading 305

Though ventricular assist devices (VADs) have been available for over 20 years, they have become more prevalent due to increased numbers of patients with end-stage heart failure, limited access to transplantation, and improved device technologies. These may allow patients to ambulate, participate in cardiac rehabilitation, await transplant at home (bridge to transplant), or may constitute a permanent treatment (destination therapy). The REMATCH trial of 129 randomized patients demonstrated a 48% reduced one-year mortality with permanent LVAD treatment versus best medical management....

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