Current Heart Failure Reports

, Volume 10, Issue 3, pp 212–218

Hospital to Home with Mechanical Circulatory Support

Decompensated Heart Failure (MM Givertz, Section Editor)

DOI: 10.1007/s11897-013-0143-y

Cite this article as:
Bellumkonda, L. & Jacoby, D. Curr Heart Fail Rep (2013) 10: 212. doi:10.1007/s11897-013-0143-y


Mechanical circulatory support (MCS) is becoming the mainstay of therapy for patients with advanced heart failure, both for patients needing support as a bridge to transplantation and for those who require the device as a destination therapy. As more and more devices are implanted, there is a need to address effective discharge planning, arrange appropriate follow-up, anticipate and address complications, and develop strategies for long-term care. In this article, we will discuss issues surrounding discharge and challenges of managing patients with MCS in the outpatient setting.


Mechanical circulatory supportVentricular assist deviceDischarge planningEthicsOutpatient follow-upComplicationsShared decision makingFrailty

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Section of Cardiovascular Medicine, Department of MedicineYale School of MedicineNew HavenUSA
  2. 2.Yale Center for Advanced Heart failure and TransplantationNew HavenUSA