Decompensated Heart Failure (MM Givertz, Section Editor)

Current Heart Failure Reports

, Volume 10, Issue 3, pp 212-218

Hospital to Home with Mechanical Circulatory Support

  • Lavanya BellumkondaAffiliated withSection of Cardiovascular Medicine, Department of Medicine, Yale School of MedicineYale Center for Advanced Heart failure and Transplantation Email author 
  • , Daniel JacobyAffiliated withSection of Cardiovascular Medicine, Department of Medicine, Yale School of Medicine

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Abstract

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.

Keywords

Mechanical circulatory support Ventricular assist device Discharge planning Ethics Outpatient follow-up Complications Shared decision making Frailty