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2015 ; 9
(Suppl 2
): 15-21
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Complications of Continuous-Flow Mechanical Circulatory Support Devices
#MMPMID26052234
Patel H
; Madanieh R
; Kosmas CE
; Vatti SK
; Vittorio TJ
Clin Med Insights Cardiol
2015[]; 9
(Suppl 2
): 15-21
PMID26052234
show ga
Left ventricular assist devices (LVADs), more importantly the continuous-flow
subclass, have revolutionized the medical field by improving New York Heart
Association (NYHA) functional class status, quality of life, and survival rates
in patients with advanced systolic heart failure. From the first pulsatile device
to modern day continuous-flow devices, LVADs have continued to improve, but they
are still associated with several complications. These complications include
infection, bleeding, thrombosis, hemolysis, aortic valvular dysfunction, right
heart failure, and ventricular arrhythmias. In this article, we aim to review
these complications to understand the most appropriate approach for their
prevention and to discuss the available therapeutic modalities.