CardioBrief: Some Doctors Reluctant to Deactivate LVADs

October 6, 2017

(MedPage Today) – Left ventricular assist devices (LVADs) are used increasingly as destination therapy instead of as a temporary bridge until a donor heart becomes available for transplantation. Now patients, their families, and their caregivers are forced to confront the extremely difficult question of when and how to turn off these devices at the end of life. “In the United States, the ethical and legal principles of LVAD deactivation are well-established,” Colleen K. McIlvennan (University of Colorado) and colleagues wrote in the Journal of Cardiac Failure.

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