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Left Ventricular Assist Device (LVAD) Detail

Mechanical circulatory support in advanced heart failure.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Left Ventricular Assist Device (LVAD) Detail?

A left ventricular assist device (LVAD) is a mechanical device that takes blood from the left ventricle and pumps it to the aorta in advanced heart failure. It is used as a bridge to transplant (BTT) or as destination therapy (DT).

Continuous-flow pumps (HeartMate 3, HVAD) are the most widely used devices. Magnetic levitation technology in HeartMate 3 has reduced thrombosis risk. Two-year survival is 70-80%.

Symptoms

NYHA IIIb-IV heart failure despite optimal therapy
Inotrope dependence
Recurrent HF hospitalizations
Cardiogenic shock (acute indication)
VO2max <12-14 mL/kg/min

Risk Factors

Right ventricular failure (postoperative complication)
Bleeding (GI bleeding — angiodysplasia)
Pump thrombosis
Drive-line infection
Stroke (hemorrhagic or ischemic)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Transplantation or LVAD evaluation in advanced heart failure
  • Patients who cannot be weaned off inotropic therapy
  • Alarm or symptom change in an LVAD patient

Treatment Methods

01
LVAD implantation (median sternotomy or thoracotomy)
02
Anticoagulation (warfarin — INR 2.0-3.0) + aspirin
03
Drive-line care (daily sterile dressing)
04
Blood pressure monitoring (target MAP 70-80 mmHg via Doppler)
05
GI bleed management (angiodysplasia — endoscopic treatment)
06
Psychosocial support and quality-of-life evaluation

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.