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- Copyright © Indian Association of Cardiovascular-Thoracic Surgeons 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
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- 0973-7723
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- 10.1007/s12055-022-01450-y
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Abstract
The use of left ventricular assist devices (LVADs) is intended to treat patients with end-stage heart failure. Owing to technological advances, these devices are becoming more durable. However, LVADs may need to be exchanged when complications arise and heart transplantation is not possible. Indications for LVAD exchange (LVADE) include device thrombosis, device infections, and pump component failure. LVADE has historically been associated with a high risk of morbidity and mortality. In this review, we discuss the indications of LVADE, the decisional and technical aspects during surgery, and outcomes.
Journal
Indian Journal of Thoracic and Cardiovascular Surgery – Springer Journals
Published: Jul 1, 2023
Keywords: Exchange; Replacement; Heart failure; Left ventricular assist device; LVAD; Driveline infection; Pump thrombosis; Pump failure