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Dtsch Med Wochenschr 2018; 143(05): 349-353
DOI: 10.1055/s-0043-119105
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Linksventrikuläre Assist-Systeme – Verbesserungsmöglichkeiten in der ambulanten Versorgung

Left Ventricular Assist Device Therapy – Ways to Improve the Ambulatory Care
Caspar Burkhard-Meier
,
Michiel Morshuis
Further Information

Publication History

Publication Date:
12 December 2017 (online)

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Abstract

The use of left-ventricular assist device therapy (LVAD) in terminal heart failure patients is increasing. Many patients are receiving LVAD-therapy as final solution (destination therapy). After discharge from the implanting heart center patient-centered care has to be implemented on an outpatient basis. A responsible ambulatory treatment of this severe heart failure population requires knowledge about LVAD specific problems (general medical care, long term complications, device management). The referring cardiologist as well as the private practitioner should be more involved in the care of patients with LVAD. By this means patients safety would increase and the overall costs decline not at least due to fewer hospital readmissions.

Immer mehr Patienten mit hochgradiger Linksherzinsuffizienz werden mit einem Assist-Device (LVAD) versorgt. Mit den Implantationszahlen steigen auch die Anforderungen an die ambulante medizinische Nachsorge: Entsprechend geschulte Hausärzte und niedergelassene Kardiologen könnten möglicherweise Komplikationen der Patienten mit LVAD vermeiden, deren Prognose verbessern und nicht zuletzt Kosten sparen helfen.

Schlüsselwörter

LVAD - Übersicht - terminale Herzinsuffizienz - ambulante Versorgung - Komplikationen

Key words

LVAD - Review - advanced heart failure - chronic outpatient management - complications
 

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