Left Ventricular Assist Devices (LVADs)
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Contact the Center for Advanced Cardiac Care to make an appointment with one of our heart failure specialists
A ventricular assist device (VAD) is a surgically implanted pump that supports the heart of patients with advanced heart failure. VADs ensure that enough blood is pumped out of the heart to meet the body’s needs. VADs can support the right and/or the left heart (ventricle), but most patients require support for their left ventricle. This is provided by implanting a left ventricular assist device (LVAD).
An LVAD is implanted next to the heart to help deliver blood into the main artery, the aorta. The aorta then distributes the blood to the rest of the body. In addition to the pump, the other components of the LVAD include a flexible cable (driveline) that connects the pump to a small computer (controller). This controller is attached to a belt and is powered by wearable batteries that last up to 17 hours.
Over the past three decades, LVAD therapy has undergone tremendous improvements, from bulky, noisy pumps with limited durability (1-2 years), to smaller, silent and more durable pumps that last multiple years. The majority of patients now survive 5 years, with some crossing the 10-year mark.
Who needs an LVAD?
An LVAD can provide life-saving support for patients dealing with a variety of life-threatening scenarios, and also help improve the overall quality of life. The risks and benefits of having an LVAD should be carefully discussed with your doctor and the decision to proceed will be considered based on personal history and preferences.
The VAD Program at Columbia University Irving Medical Center
Established in 1990, the ventricular assist device (VAD) Program at Columbia University Irving Medical Center (CUIMC) is one of the first such programs in the nation. As a premier center, it leverages decades of clinical expertise and high scientific productivity, spearheading the field in innovation and technological progress.
We specialize in the management of complex cases, often treating high-risk patients that were deemed too sick for LVAD consideration at other institutions. We provide patients and their family with individualized education, both in-person and online, to ensure understanding and comfort with this therapy.
A Team of Experts
We are highly trained experts with experience in caring for people with LVADs. Our multidisciplinary team includes:
- Surgeons
- Cardiologists
- Consultants
- Nurse practitioners
- Physician assistants
- Case managers
- Palliative care specialists
- Dietitians
- Pharmacists
- Physical therapists
- Educators