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Ann Thorac Surg 2003;75:S29-S35
© 2003 The Society of Thoracic Surgeons

Supplement

Patient selection for left ventricular assist device therapy

Keith D. Aaronson, MDa, Himanshu Patel, MDb, Francis D. Pagani, MD, PhDb*

a Division of Cardiology, University of Michigan, Ann Arbor, Michigan, USA
b Section of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan, USA

* Address reprint requests to Dr Pagani, Heart Transplant and Circulatory Assist Program, Section of Cardiac Surgery, 2120 Taubman Center, Box 0348, 1500 East Medical Center Dr, Ann Arbor, MI 48109, USA
e-mail: fpagani{at}umich.edu

Presented at the Heart Failure & Circulatory Support Summit, Cleveland, OH, Aug 22–25, 2002.

Abstract

Patient selection for left ventricular assist device (LVAD) therapy is the most important process in obtaining a successful outcome. Evaluation requires assessing the appropriateness for device implantation based on need and risk of LVAD implant to the patient. Appropriate patients can be selected without the need for invasive hemodynamic measurements and selection can be based on symptoms, appropriateness of medical therapy, and on the need for inotropic therapy. Assessing the risk of LVAD therapy to the patient requires evaluating the degree of organ dysfunction and technical factors. Patients should be offered the option of LVAD therapy if they meet criteria for need, possess the potential for organ recovery, and have appropriate operative risk.




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