In 2010, the FDA approved the LVAD device for patients as destination therapy (DT) for patients with heart failure who were not candidates for heart transplant surgery. Currently, the Heartmate III, HVAD and Heartmate II are FDA approved for BTT. The amount of time you receive support from a VAD until heart transplantation varies and depends on your medical condition, blood type, and body size. The LVAD assists the heart and allows the patient to have better quality of life and fewer symptoms and is then removed at the time of transplant. If a patient is a candidate for a heart transplant, bridge-to-transplant therapy helps the patient survive until a donor heart becomes available. As patients wait for their transplantation, their heart and medical condition may continue to worsen which may lead to hospital admission, increased symptoms and damage to other organs such as the kidneys, liver and lungs. In 2008, the FDA approved the LVAD device for patients awaiting heart transplant. The LVAD can be used two ways: bridge-to-transplant and destination therapy. And/or Reproduced with permission of Abbott, ©2018. The controller runs the pump and provides messages and alarms to help you operate the system.Ī power supply (rechargeable batteries or cord that plugs into an electrical socket) keeps the LVAD running.Ībbott and HeartMate IIl™ are trademarks of Abbott. The driveline passes from the device through the skin on your belly (abdomen) to the controller (a small computer) on the outside of your body. The pump is attached to a driveline (cable) and control system (controller). It works by pumping blood by continuous flow from the left ventricle to the aorta. A tube then delivers this blood from the device to the aorta (the large artery that takes blood from the heart to the rest of the body. It is implanted by the surgeon into the apex of the heart where it receives blood. The parts of the LVAD may vary based on the type of device but mainly, there are four basic parts: The LVAD is implanted during open heart surgery. The doctor will recommend the one that is best for you based on your needs and medical condition. There are a few different LVADs available at Cleveland Clinic. This helps the left ventricle pump blood. It pumps along with the patient’s own heart. The LVAD receives blood from the left ventricle and delivers it to the aorta. A left ventricular assist device does not replace the heart. Does an LVAD take the place of your heart? That is why it is called a Left Ventricular Assist Device. It helps the bottom left chamber of your heart (left ventricle) pump blood out of the ventricle to the aorta and the rest of your body. What is a Left Ventricular Assist Device (LVAD)?Ī left ventricular assist device (LVAD) is a mechanical pump that is implanted in patients with heart failure.
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