LVAD implantation is a new technique that can increase the life expectancy of patients with severe heart complications and a higher risk of heart failure.
- LVAD Advantages
- Heart transplant surgery vs LVAD implantation
- Frequently Asked Questions
What is LVAD?
LVAD is an advanced technology that is smaller, more durable, more reliable, and easier to the implant which provides patients the opportunity to live a longer and healthier life. LVADs can be used as -
Bridge-to-transplant Therapy - It always takes time to get a heart donor, so LVAD is transplanted in patients until a heart becomes available. It acts as a life-saving treatment for people who are in need of heart transplants. In some situations, an LVAD can recover a failing heart and also avoid the need for a transplant.
Destination Therapy - Some patients are not eligible for heart transplants and require other treatment. In this case, they can undergo long-term care with an LVAD, which can help them live longer and better lives.
Advantages of LVAD implantationLVADs are used to help people with advanced heart failure, especially:
- People who have severe chronic health conditions or elderly people who cannot opt for a heart transplant.
- People who are waiting for a heart donor but their severity doesn't allow them to wait for more.
- People who do not have proper BMI for a heart transplant.
- People who are in high stages of dilated cardiomyopathy or myocarditis.
- People who had heart surgery but are unable to withdraw themselves off cardiopulmonary bypass.
- People who have a medical condition that prevents them from getting heart transplant surgery.
- People who had organ rejection after a heart transplant.
- People who have suffered major heart attacks and have no other treatment options are left.
The following are the three types of LVAD applicationsShort-term: For high-risk patients who are unable to live for an extended period of time.
Intermediate-term: Up to 500 days for patients with a high risk of problems.
Long-term: For individuals with advanced heart failure who require outpatient care.
A normal heart transplant surgery vs LVAD implantation
|A normal Heart transplant surgery||LVAD implantation|
|It is done only with the availability of a heart donor.||One does not need to wait for a heart donor.|
|A patient may face risks after a heart transplant. It also has less survival rate.||Improved quality of life and high survival rate of heart patients.|
|Less accessible||Accessibility is increasing as compared to a heart transplant|
|More complications||Comparatively fewer complications.|
|The chances of a person getting a heart attack after heart transplantation is more.||The chances of a person getting a heart attack after this procedure is less.|
Before the procedure
- Prior to the LVAD procedure, the surgeon gives the patient precise instructions and discusses potential concerns such as hemorrhage, infection, or an unfavorable reaction to the anesthetic.
- Prior to the procedure, patients visit with the anesthesiologist to discuss their medical history. The night before the procedure, patients should not eat after midnight.
- The patient arrives at the hospital on the day of the procedure, registers, and changes into a hospital gown. A nurse goes over the patient's records to make sure there aren't any issues.
- The anesthesiologist then starts an IV and transports the patient to the operating room, where the surgeon confirms the patient's identity and procedure before administering any medicine. Once the patient is sedated, the procedure will begin.
During the procedure
One end of the LVAD tube is connected to the left ventricle of the heart, while the other end of the external LVAD tube is connected to the aorta. The LVAD is operated by a small computer and a small electrical cord that exits from the upper abdomen and connects to a power supply (either batteries or a plug-in).
The patient is taken off cardiopulmonary bypass and the chest is stitched up once the device is working properly.
LVAD Post-Operative Information
The length of a patient's stay in the hospital is determined by how soon they recuperate and are able to engage in some physical activity.
LVAD-related complicationsFollowing can be some of the risks or complications after the procedure-
- Right heart dysfunction
- Damage to blood cells
LVAD Implantation at Medicover Hospitals
Frequently Asked Questions:
LVAD has a high life expectancy as compared to other procedures. A person can live up to 5 to 6 years after the implantation.
As every procedure has its own set of risks and complications, there are some possible risks to this procedure also, however, your doctor will guide you on how to cope with any side effects.
The cost of LVAD ranges between 30 to 90 lakhs. However, it depends on some other factors such as severity, condition, place, city, and hospital you choose.
It takes almost 14 to 21 days for recovering after an LVAD implantation.
Yes, it’s open-heart surgery.
It takes 4 to 6 hours to complete the procedure.
It varies as per the duration, for instance: For 30 days, 1 year, or 2 years, its success rate could be around 86%, 56%, or 39% respectively.