Ethical challenges with deactivation of durable mechanical circulatory support at the end of life: left ventricular assist devices and total artificial hearts

MY Rady, JL Verheijde - Journal of intensive care medicine, 2014 - journals.sagepub.com
Left ventricular assist devices (LVADs) and total artificial hearts (TAHs) are surgically
implanted as permanent treatment of unrecoverable heart failure. Both LVADs and TAHs are …

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

CR Bruce, B Brody, MA Majumder - Methodist DeBakey …, 2013 - ncbi.nlm.nih.gov
Successful practice of cardiovascular medicine requires familiarity with the complex ethical
issues that accompany therapeutic innovation and diffusion. Even as technologies transition …

Ethical challenges in care of patients on mechanical circulatory support at end-of-life

ES Pak, CA Jones, PJ Mather - Current Heart Failure Reports, 2020 - Springer
Abstract Purpose of Review Although the utilization of mechanical circulatory support (MCS)
devices is increasing, ethical dilemmas regarding device deactivation and dying process …

Deactivation of left ventricular assist devices: differing perspectives of cardiology and hospice/palliative medicine clinicians

CK McIlvennan, SE Wordingham, LA Allen… - Journal of Cardiac …, 2017 - Elsevier
Background Beliefs around deactivation of a left ventricular assist device (LVAD) vary
substantially among clinicians, institutions, and patients. Therefore, we sought to understand …

Deactivation of left ventricular assist devices at the end of life: narrative review and ethical framework

D Zaidi, JN Kirkpatrick, SE Fedson, SC Hull - Heart Failure, 2023 - jacc.org
Left ventricular assist devices (LVADs) have become an increasingly common advanced
therapy in patients with severe symptomatic heart failure. Their unique nature in prolonging …

When withdrawal of life-sustaining care does more than allow death to take its course: the dilemma of left ventricular assist devices

KA Bramstedt, NS Wenger - The Journal of heart and lung transplantation, 2001 - Elsevier
Background: Left ventricular assist devices (LVADs) are a relatively new technology that is
increasingly used to preserve cardiac function. These devices work by a mechanism that …

Ethical challenges of deactivation of cardiac devices in advanced heart failure

H Chamsi-Pasha, MA Chamsi-Pasha… - Current heart failure …, 2014 - Springer
More than 23 million adults worldwide have heart failure (HF). Although survival after heart
failure diagnosis has improved over time, mortality from heart failure remains high. At the …

Challenges in deactivating a total artificial heart for a patient with capacity

CR Bruce, NG Allen, BN Fahy, HL Gordon, EE Suarez… - Chest, 2014 - Elsevier
The use of mechanical circulatory support (MCS) devices has increased sixfold since 2006.
Although there is an established legal and ethical consensus that patients have the right to …

Complications of durable left ventricular assist device therapy

S Emani - Critical care clinics, 2018 - criticalcare.theclinics.com
Durable left ventricular assist devices (LVADs) have consistently demonstrated utility in
improving survival in patients with end-stage heart failure. 1 Ongoing use of LVADs, along …

End of life for patients with left ventricular assist devices: Insights from INTERMACS

CK McIlvennan, KL Grady, DD Matlock… - The Journal of Heart and …, 2019 - Elsevier
BACKGROUND Trial and registry data have reported mortality rates and causes of death in
patients with left ventricular assist devices (LVADs); however, a more granular description is …