Advanced Heart Failure

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Ventricular Assist Devices (VAD)

What is a VAD?

A Ventricular Assist Device (VAD) is a mechanical device that helps the heart by pumping blood throughout the body.

Why might I need a VAD?

You might need one if you have severe heart failure. Before you received a VAD, your doctor will try other treatments first.

Sometimes a VAD is recommend instead of heart transplantation or while you wait for heart transplantation.

How do I know if I need a VAD?

When all other treatments fail, your doctor may want you to be evaluated for advanced therapies. You will have exams and blood tests, and talk with different doctors. They will ask about your:

  • Other medical conditions and medicines you take
  • Lifestyle (for example, smoking, alcohol, or drug use)
  • Family and other support systems

What happens if I am deemed a candidate for VAD?

If you meet all of the required conditions, your doctors will schedule your VAD surgery. You will have education prior to surgery for you and your caregiver(s). Education will have to be completed prior to discharge after VAD surgery.

What happens after a VAD?

Most people stay in the hospital for a few weeks. In the hospital and at home, your doctors will monitor you. They will also do tests to make sure that your VAD is working correctly.

After a VAD, doctors will continue to do regular exams and tests on your heart. People with a VAD need to see their doctors regularly and take medicines for the rest of their lives. These include "anti-coagulation." They help prevent a blood clot from forming in the VAD.

Is VAD always an option?

No. Surgery is not an option for some people. For example, a person with an infection or cancer might not benefit from a VAD. Your age, other conditions, and overall health will determine if you can get surgery to treat your heart failure.

Not everyone who is sent to a VAD center will get a VAD.