The next decade in mechanical assist: advances that will help the patient and the doctor.

Publication/Presentation Date

5-1-2011

Abstract

PURPOSE OF REVIEW: Significant technological advances have occurred in mechanical assist devices over the past decade. With improving hemodynamics and durability, ventricular assist devices (VADs) are being implanted with increasing frequency. Yet, several VAD-specific morbidities and technological challenges, which are reviewed, continue to limit the number of devices that are currently implanted.

RECENT FINDINGS: We are beginning to understand the pathophysiology of complications specific to continuous-flow VADs, including bleeding and aortic insufficiency. Improved outcomes and durability with currently available continuous-flow VADs are evident, as compared with first-generation devices. A focus on enhancing quality of life with a VAD will be critical to widespread application of mechanical circulatory support to the heart failure patient population.

SUMMARY: Advances in technology and surgical technique are continuing to minimize morbidity and mortality associated with mechanical assist devices. Continued technological advancements will allow increased utilization of mechanical circulatory support over the next decade.

Volume

26

Issue

3

First Page

256

Last Page

260

ISSN

1531-7080

Disciplines

Medicine and Health Sciences

PubMedID

21451406

Department(s)

Department of Surgery

Document Type

Article

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