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LVAD and Mechanical Circulatory Support

Implantable pumps that replace or assist left ventricular function in advanced heart failure.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

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 LVAD and Mechanical Circulatory Support?

A left ventricular assist device (LVAD) is a mechanical pump that takes over the pumping function of the left ventricle in advanced heart failure. It pumps blood from the left ventricle to the aorta to maintain systemic perfusion. Most contemporary devices are continuous-flow and compact in size.

Indications include bridge to transplant, destination therapy and bridge to recovery. Patient selection requires multidisciplinary evaluation.

LVAD recipients need specialized follow-up, including anticoagulation, infection prevention, device monitoring and lifestyle adaptation. Complications include bleeding, thrombosis, driveline infection and right-sided heart failure.

Symptoms

(Before device) features of advanced heart failure
Rest dyspnea
Symptoms with minimal exertion
Recurrent hospital admissions
Signs of low cardiac output
Kidney and liver dysfunction
Inotrope dependency

Risk Factors

NYHA class III–IV heart failure
Low ejection fraction (<25%)
Inadequate response to maximal medical therapy
Cardiac cachexia
Recurrent heart failure admissions
Continuous inotropic requirement
Time spent on the transplant waiting list

When to See a Doctor?

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

  • Activation of LVAD alarms
  • New driveline drainage
  • New bleeding or stroke symptoms
  • Decline in quality of life with advanced heart failure

Treatment Methods

01
Surgical device implantation
02
Anticoagulation and antiplatelet therapy
03
Driveline care and infection prophylaxis
04
Regular monitoring of device parameters
05
Cardiac rehabilitation
06
Follow-up with a multidisciplinary LVAD team

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.