Transplant Center

Reasons for a Ventricular Assist Device

There are commonly three main reasons that a Ventricular Assist Device might be used.

Bridge to Transplant
Bridge to Recovery
Destination Therapy

Bridge to Transplant

Some patients with advanced heart failure are candidates for a heart transplant, which can dramatically improve survival and quality of life. Unfortunately, donor hearts are not always available. A patient may wait several years before a suitable donor heart is found. While waiting, the condition of the heart may continue to worsen. A Ventricular Assist Device (VAD) is most often used to sustain severe heart failure patients until a donor heart becomes available and the patient can receive a transplant.

Researchers have studied and documented how patients with Ventricular Assist Devices fare before and after the heart transplant. Several devices are available at University Heath Care for help in supporting the failing heart while a patient awaits a donor heart. These VADs are designed to allow patients full mobility to participate in physical strengthening as well as live outside the hospital while they wait for a donor heart.

The Impact of Bridge to Transplant VAD Support on Long Term Survival Following Cardiac Transplantation: Analysis of a Single Center Experience with over 1000 Heart Transplants *David A Bull, *Craig H Selzman, Amit N Patel, Reza Khodaverdian, Dale G Renlund, *John A Hawkins

Bridge to Recovery

In some patients with reversible forms of heart failure, a ventricular assist device (VAD) can be implanted with the hope that it will allow the heart to recover. Once the heart has recovered sufficiently, the VAD may be removed. The temporary VAD can also allow time for decisions to be made regarding the need for a more permanent VAD or heart transplant.

Several Devices are available at University Heath Care for help supporting the failing heart in hopes of recovery.

Destination Therapy

For some patients who are not good candidates for heart transplantation, a VAD may be used to provide support for a failing heart over the course of several years. Newer VAD pumps have been designed to provide patients with greater mobility and out-of hospital use so that they may return home after the device has been implanted. The goal of VADs for destination therapy is to help patients live a good quality of life that they would otherwise not have with their severe heart failure.

Feras M. Bader, M.D.

Locations
University Hospital (801) 585-3693
University Hospital (801) 585-5122

Specialties: Cardiology, Echocardiography, Heart Failure, Heart Transplant

David A. Bull, M.D.

Locations
University Hospital (801) 581-5311

Specialties: Cardiac Mechanical Support, Cardiothoracic Surgery, Coronary Revascularization, Esophageal Surgery, Heart Transplant, Lung Cancer, Lung Transplant, Valvular Heart Disease

Stavros G. Drakos, M.D., Ph.D.

Locations
University Hospital (801) 585-5122
University Hospital (801) 585-3693

Specialties: Cardiac Mechanical Support, Cardiology, Heart Failure, Heart Transplant

Aaron W. Eckhauser, M.D., M.S.C.I

Specialties: Cardiac Mechanical Support, Cardiothoracic Surgery, Heart Transplant, Pediatric Cardiothoracic Surgery

Lynette Evans, APRN, B.S.N.

Locations
University Hospital (801) 585-3693
University Hospital (801) 585-5122

Specialties: Cardiology, Heart Failure, Heart Transplant

James C. Fang, M.D.

Locations
Redstone Health Center (801) 585-7676
South Jordan Health Center (801) 585-7676
University Hospital (801) 585-7676

Specialties: Cardiology, General Cardiology, Heart Failure, Heart Transplant

Jacob Fetzer, PA-C

Locations
University Hospital (801) 585-3693
University Hospital (801) 585-5122

Specialties: Cardiology, Heart Failure, Heart Transplant, Physician Assistant

Edward Michael Gilbert, M.D.

Locations
Billings Clinic (800) 332-7156
Saint Alphonsus Regional Medical Center (208) 367-4278
University Hospital (801) 585-3693
University Hospital (801) 585-5122
Veterans Administration Medical Center (801) 584-1235

Specialties: Cardiology, Echocardiography, Heart Failure, Heart Transplant

Stephen McKellar, M.D., M.Sc.

Specialties: Cardiac Mechanical Support, Cardiothoracic Surgery, Coronary Revascularization, Heart Failure, Heart Transplant, Lung Transplant, Minimally Invasive Heart Surgery, Minimally Invasive Lung & Esophageal Surgery, Valvular Heart Disease

Kimberly M. Molina, M.D.

Locations
Primary Children's Hospital (801) 662-5400

Specialties: Echocardiography, Heart Failure, Heart Transplant, Pediatric Cardiology

Jose Nativi-Nicolau, M.D.

Locations
Billings Clinic (800) 332-7156
Saint Alphonsus Regional Medical Center (208) 367-4278
University Hospital (801) 585-5122
University Hospital (801) 585-3693
Veterans Administration Medical Center (801) 584-1235

Specialties: Cardiology, Heart Failure, Heart Transplant

Amit N. Patel, M.D., B.S., M.S.

Locations
University Hospital (801) 587-7946

Specialties: Cardiothoracic Surgery, Heart Failure, Heart Stem Cell Therapy, Heart Transplant, Lung Transplant, Valvular Heart Disease

Craig H. Selzman, M.D.

Locations
University Hospital (801) 587-9348

Specialties: Adult Congenital Heart Disease, Cardiac Mechanical Support, Cardiothoracic Surgery, Coronary Revascularization, Heart Failure, Heart Stem Cell Therapy, Heart Transplant, Lung Transplant, Minimally Invasive Heart Surgery, Surgical Ventricular Restoration, Valvular Heart Disease

Josef Stehlik, M.D., M.P.H.

Locations
Billings Clinic (800) 332-7156
Saint Alphonsus Regional Medical Center (208) 367-4278
University Hospital (801) 585-5122
University Hospital (801) 585-3693
Veterans Administration Medical Center (801) 584-1235

Specialties: Cardiac Mechanical Support, Cardiology, Heart Failure, Heart Transplant

Jill Stratford Waldron, M.S., APRN

Locations
University Hospital (801) 585-3693
University Hospital (801) 585-5122

Specialties: Cardiology, Geriatrics, Gerontological Nurse Practitioner, Heart Failure, Heart Transplant, Nurse Practitioner

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