What is a Ventricular Assist Device (VAD)?

A VAD is a pump which is implanted inside a patient’s chest to provide support for the failing heart and improve symptoms of heart failure. The pump needs a power source to function. The power source, ether batteries or Power Base Unit, remain outside of the body. A special line, called a driveline, connects the pump to a controller and a power source.

Who needs a VAD?

Patients with advanced heart failure not responding to optimal medical management can be considered for a VAD. Also, VADs can be used in patients who wait for heart transplantation as temporary mechanical support known as a “bridge to transplant.” Finally, VADs have been used in patients with end-stage heart failure as “destination therapy” when they are not transplant candidates.

Is a VAD surgically implanted?

Yes. The surgery usually takes 4-6 hours, and it is done under general anesthesia. After the surgery, the patient is moved to the Intensive Care Unit for recovery. If there are no complications, the patient is discharged from the hospital in 14-21 days.

Can a VAD ever be explanted?

Yes. If the function of the heart improves with the support of the VAD, the device can be explanted. Although, this is not common.

Is there an age limit for VAD candidates?

No. If organ functions are intact (kidney, liver, etc.), there is no age limit set for VAD therapy.

Is there a weight limit for VAD candidates?

The ideal Body Mass Index for VAD candidates is below 35. However, there is no weight limit set for VAD patients.

How long I can live with the VAD support?

The data shows that the patients with VAD support can live up to 7 years, or longer.

What are the limitations of living with a VAD?

Patients with VAD support cannot swim or submerge themselves in water. However, when the driveline site is completely healed, they will be able to take a shower using a specially designed VAD shower kit.

Would I need to continue taking heart failure medications after a VAD is implanted?

Yes. You will continue taking heart failure medications. Also, you will be taking medications to prevent development of clots.

Can I travel with a VAD?

Yes.  You need to be approved for traveling by the VAD team — including your cardiologist, surgeon, and VAD coordinator. Also, you will be provided with a letter which explains travel-related issues for VAD patients such as the necessity to avoid magnetic airport gates, etc.

What are the issues a patient with a VAD might experience?

The complications could include but are not limited to: driveline infections, gastrointestinal bleeding, pump clotting, or device failure.

How can I be referred for a VAD evaluation?

You can be referred by your local cardiologist, or by calling the Heart Failure/VAD Program at Shands Hospital at 800-749-7424 or 352-265-0751.

Information

If you are interested in more information regarding the VAD program at Shands, contact the Heart Failure and Heart Transplant office at (352) 265-0751.

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To make a new patient appointment or find out more information about heart care services offered at Shands at the University of Florida, please call 352.265.0943 .

You may also email our Consultation Center (consult@shands.ufl.edu) or use our secure online form.