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Abstracts: ASAIO Cardiac Abstracts

SATELLITE CARE OF LVAD PATIENTS: “OUTSOURCE” OF LVAD IMPLANTATION TO HIGH VOLUME VAD CENTERS WITH SUBSEQUENT CARE AND TRANSPLANTATION AT THE REFERRING CENTER

Nelson, David P1; French, Lora1; Nelson, Karl2; Chaffin, John1; Elkins, Craig1; Kanaly, Paul1; Long, Jim2

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Purpose:

To report collaborative care of LVAD patients by two transplant centers.

Methods:

Retrospective chart review. Because of low volume LVAD usage one of our centers (NZTI) has elected to “outsource” most of its (21/33) assist device cases to the other high volume assist device center over the last nine years. Most of these patients (N=14) return to the referring center for subsequent care after stabilization and training at the implanting center. Three of these are destination cases (all alive), 7 have been successfully transplanted and two have died. Two of the transplant recipients initially required implantation of a second assist device before transplantation. This relationship between low and high volume assist device centers has benefited patients and developed expertise in medical management of these devices at the referring center working in close collaboration with the implanting center. We report details regarding this experience below. *Reimplant at LDS **Reimplant at NZTI with Dr. Jim Long §Destination case with second implant at LDS for bearing failure at 691 days

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Copyright © 2005 by the American Society for Artificial Internal Organs