Abstract：
Collaboration between the implantation centers, management centers, and regional core hospitals is a key factor in securing long-term implantable ventricular assist device (VAD) management. In Kyushu, a management system for patients with implantable VADs has been established at the prefectural and regional levels. Presently, six implantable VAD implantation centers and seven management centers exists in the eight prefectures of Kyushu and Okinawa, with at least one specialized VAD centers in each prefecture. This collaborative management system allows patients with VADs to receive seamless treatment based on the same management concept wherever they live. In fact, approximately half of the present outpatients treated at our center reside outside the prefecture and are managed in collaboration with management centers and regional core hospitals. Among our patients, there were no significant differences in survival or rehospitalization-free rates between patients with VADs in and out of the prefecture, suggesting that the place of residence did not affect the outcome. With the increase in the number of patients with VADs and the diversification of patients, patient management has become more complex. Mutual collaboration between the implantation centers, management centers, and regional core hospitals, is essential to improve the quality of VAD management. This review was created based on a translation of the Japanese review written in the Japanese Journal of Artificial Organs in 2023 (Vol. 52, No. 1, pp. 85-88), with some modifications.
摘要：
植入中心之间的合作，管理中心,区域核心医院是确保长期植入式心室辅助装置（VAD）管理的关键因素。在九州,在县和地区两级建立了植入式VAD患者管理系统.目前,九州和冲绳的八个县设有六个植入式VAD植入中心和七个管理中心，每个县至少有一个专门的VAD中心。这种协作管理系统使患有VAD的患者无论身在何处，都可以基于相同的管理概念接受无缝治疗。事实上,目前在我们中心接受治疗的门诊患者中约有一半居住在县外，并与管理中心和地区核心医院合作进行管理。在我们的病人中，县内外VAD患者的生存率或无再住院率没有显着差异，表明居住地不影响结果。随着VAD患者数量的增加和患者的多样化,患者管理变得更加复杂。植入中心之间的相互合作，管理中心,和地区核心医院，对于提高VAD管理质量至关重要。这篇评论是根据2023年日本人造器官杂志（第一卷。52号1页。85-88），有一些修改。
