Advanced Heart Failure Management

 

HEART TRANSPLANT AND VAD THERAPY

I trained in a large volume heart transplant centre in Manchester, UK (Wythenshawe Hospital) where I undertook extensive work in assessing patients with end-stage heart failure for further intervention.

This will be in the form of 2 distinct approaches

  • 1 group of patients will be suitable for heart transplant surgery and will be assessed for the same. This includes a rigorous set of tests to evaluate the need for and suitability of individual patients for a heart transplant.
  • The other approach is to implant a mechanical circulatory support device called the Ventricular Assist Device (VADs) to supplement or substitute the function of the failing heart.
  • A ventricular assist device (VAD) is a mechanical pump. When one of the heart’s natural pumps (a ventricle) does not perform well, a VAD is used to increase the amount of blood that flows through the body. Having a VAD implant allows most people with advanced heart failure to return to a fuller life.
  • This may be either supporting one of the ventricles (left or right ventricle) and called the LVAD or RVAD or it may be needed to support both the ventricles- called the BIVAD.
  • VADs can be used as a temporary measure until the heart recovers (Bridge to recovery) or until the patient receives a new heart (waiting for a transplant)- Bridge to transplant.
  • Increasingly VADs are being looked upon as a long term treatment option for patients suffering from severe heart failure- this is called DESTINATION THERAPY with VAD.

VADs can be used as a temporary measure until the heart recovers (Bridge to recovery) or until the patient receives a new heart (waiting for a transplant)- Bridge to transplant.

Increasingly VADs are being looked upon as a long term treatment option for patients suffering from severe heart failure- this is called DESTINATION THERAPY with VAD.

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