Coagulation and complications of left ventricular assist device therapy a primer for emergency nurses

摘要

Implantation of left ventricular assist devices (LVADs) is becoming more common with the advancement of mechanical circulatory support technology and the continued insufficient number of organ donors available for heart transplantation. Modern LVADs provide a mechanically induced, nonpulsatile, continuous blood flow that drastically alters the hemodynamic and coagulation profile of patients using these devices. In addition to the risk of bleeding and thrombotic events, LVAD support can also lead to arrhythmias and infection. Although LVAD therapy can prolong life, the majority of patientswill experience an adverse event following implantation andmany of these complications can result in emergency department visits. By understanding the pathophysiology andmanagement of LVAD complications, emergency nurses will be able to provide prompt and quality care for this unique patient population.