Abstract：
Left ventricular assist devices (LVADs) are excellent therapies for advanced heart failure patients either bridged to transplant or for lifetime use. LVADs also allow for reverse remodeling of the failing heart that is often associated with functional improvement. Indeed, growing enthusiasm exists to better understand this population of patients, whereby the LVAD is used as an adjunct to mediate myocardial recovery. When patients achieve benchmarks suggesting that they no longer need LVAD support, questions related to the discontinuation of LVAD therapy become front and center. The purpose of this review is to provide a surgical perspective on the practical and technical issues surrounding LVAD deactivation.
摘要：
左心室辅助装置（LVAD）是晚期心力衰竭患者的出色疗法，可用于移植或终身使用。LVAD还允许通常与功能改善相关的衰竭心脏的逆向重塑。的确,越来越多的人对更好地了解这类患者有热情,其中LVAD被用作介导心肌恢复的辅助手段.当患者达到表明他们不再需要LVAD支持的基准时，与终止LVAD治疗相关的问题成为首要问题。这篇综述的目的是为围绕LVAD停用的实际和技术问题提供外科观点。
