Ethical dilemmas surrounding the use of ventricular assist devices in supporting patients with end-stage organ dysfunction.

Courtenay Bruce, Baruch Brody, Mary A. Majumder

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

Successful practice of cardiovascular medicine requires familiarity with the complex ethical issues that accompany therapeutic innovation and diffusion. Even as technologies transition from experimental to standard care, challenges remain. Mechanical circulatory support devices, for instance, are increasingly conceptualized as conventional therapies. Despite this, or perhaps because of it, the ethical issues surrounding the use of these devices in patients with end-stage organ dysfunction are becoming increasingly apparent. In this paper, we provide an introduction to ethical considerations related to the use of ventricular assist devices (VADs) in end-stage organ failure, focusing on three stages or decision points: initiation, continued use, and deactivation. Our goal is not to exhaustively resolve these dilemmas but to illustrate how ethical considerations relate to decision making.

Original languageEnglish (US)
Pages (from-to)11-14
Number of pages4
JournalMethodist DeBakey cardiovascular journal
Volume9
Issue number1
StatePublished - Jan 1 2013

ASJC Scopus subject areas

  • Medicine(all)

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