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Ventricular Assist Device 8/11/10 Jeremy Fernando (2011) ITEM NAME – Ventricular Assist Device USES/INDICATIONS (1) temporizing measures to optimize ventricular function while awaiting ventricular function to return (2) as bridging therapy to heart transplantation (3) therapy if not eligible for cardiac transplantation DESCRIPTION - small tube that carries blood out of the heart -> into a pump -> blood pumped back into the aorta - can be flow rather than pulsatile - may be right, left or biventricular - either trancutaneous or implantable - good control of cardiac output + left and right ventricular output METHOD OF INSERTION AND/OR USE - surgically placed OTHER INFORMATION - requires anticoagulation - differentiating VAD from ECMO: flow and pump speed, shorter pipes, blood same colour COMPLICATIONS - bleeding thromboembolism infection CVA haemolysis device failure mobility restrictions Jeremy Fernando (2011)
