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suck abstract from ncbi


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pmid27660575
      Ochsner+J 2016 ; 16 (3 ): 263-9
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  • Mechanical Circulatory Support for the Failing Heart: Continuous-Flow Left Ventricular Assist Devices #MMPMID27660575
  • Englert JA 3rd ; Davis JA ; Krim SR
  • Ochsner J 2016[Fal]; 16 (3 ): 263-9 PMID27660575 show ga
  • BACKGROUND: Heart transplantation remains the definitive therapy for patients with advanced heart failure; however, owing to limited donor organ availability and long wait times, continuous-flow left ventricular assist devices (LVADs) have become standard therapy. METHODS: This review summarizes the history, progression, function, and basic management of LVADs. Additionally, we provide some clinical pearls and important caveats for managing this unique patient population. RESULTS: Currently, the most common LVADs being implanted in the United States are second- and third-generation devices, the HeartMate II (Thoratec Corp., St. Jude Medical) and the HeartWare HVAD (HeartWare International, Inc.). A newer third-generation pump, the HeartMate III (Thoratec Corp., St. Jude Medical), is designed to create an artificial pulse and is currently under investigation in the United States. CONCLUSION: LVAD use is promising, will continue to grow, and has become standard therapy for advanced heart failure as a bridge to recovery, as destination therapy, and as a bridge to transplantation.
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