Continuous flow left ventricular assist devices: shared care goals of monitoring and treating patients

Jerry D Estep, Barry H Trachtenberg, Laurie P Loza, Brian A Bruckner

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Continuous-flow left ventricular assist devices (CF-LVADs) have been clinically adopted as a long-term standard of care therapy option for patients with end-stage heart failure. For many patients, shared care between the care providers at the implanting center and care providers in the community in which the patient resides is a clinical necessity. The aims of this review are to (1) provide a rationale for the outpatient follow-up exam and surveillance testing used at our center to monitor patients supported by the HeartMate II(®) CF-LVAD (Thoratec Corporation, Pleasanton, CA) and (2) provide the protocol/algorithms we use for blood pressure, driveline exit site, LVAD alarm history, surveillance blood work, and echocardiography monitoring in this patient population. In addition, we define our partnership outpatient follow-up protocol and the "shared care" specific responsibilities we use with referring health care providers to best manage many of our patients.

Original languageEnglish (US)
Pages (from-to)33-44
Number of pages12
JournalMethodist DeBakey cardiovascular journal
Volume11
Issue number1
DOIs
StatePublished - Jan 1 2015

Keywords

  • continuous flow LVAD
  • heart failure
  • left ventricular assist device
  • shared care

ASJC Scopus subject areas

  • Medicine(all)

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