[Ventricular assist device – Possibilities of long-term mechanical circulatory support]

Englberger, Lars; Reineke, David C.; Martinelli, Michele V.; Mohacsi, Paul; Carrel, Thierry P. (August 2015). [Ventricular assist device – Possibilities of long-term mechanical circulatory support]. Therapeutische Umschau, 72(8), pp. 505-511. Huber 10.1024/0040-5930/a000707

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In Switzerland 200’000 people suffer from congestive heart failure. Approximately 10’000 patients find themselves in an advanced state of the disease. When conservative treatment options are no longer available heart transplantation is the therapy of choice. Should this not be an option due to long waiting lists or medical issues assist device therapy becomes an option. Assist device therapy is separated in short-term and long-term support. Long-term support is nowadays performed with ventricular assist devices (VADs). The native heart is still in place and supported in parallel to the remaining function of the heart. The majority of patients are treated with a left ventricular assist device (LVAD). The right ventrical alone (RVAD) as well as bi-ventricular support (BiVAD) is rarely needed. The modern VADs are implantable and create a non-pulsative bloodflow. A percutaneous driveline enables energy supply and pump-control. Indication strategies for VAD implantations include bridge to transplant (short term support), bridge to candidacy and bridge to transplant. VADs become more and more a definite therapeutic option (destination therapy). VAD therapy might be a realistic alternative to organ transplantation in the near future.

Item Type:

Newspaper or Magazine Article

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Englberger, Lars; Reineke, David Christian; Martinelli, Michele; Mohacsi, Paul and Carrel, Thierry

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0040-5930

Publisher:

Huber

Language:

German

Submitter:

Sara Baumberger

Date Deposited:

14 Dec 2015 10:55

Last Modified:

14 Dec 2015 10:55

Publisher DOI:

10.1024/0040-5930/a000707

PubMed ID:

26227978

BORIS DOI:

10.7892/boris.74064

URI:

https://boris.unibe.ch/id/eprint/74064

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