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Ventricular assist devices in the ICU 

Ventricular assist devices in the ICU
Ventricular assist devices in the ICU

Alain Combes

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date: 16 May 2022

Despite major advances in pharmacological therapies for heart failure with left ventricular pump dysfunction, the number of hospitalizations for decompensated heart failure is increasing, with most patients ultimately dying of disease complications. Heart transplantation remains the only treatment providing substantial individual benefit for patients with advanced disease. However, fewer than 3000 organ donors are available worldwide per year, limiting its overall impact. Therefore, alternative approaches, such as mechanical circulatory support have been the subject of intense research over recent decades. The development of mechanical circulatory devices parallels that of cardiac surgery and cardiac transplantation. Current practice and the development of economically affordable short-term devices have resulted in updated indications for mechanical circulatory assistance for both short- and long-term support.

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