Withdrawal of Left Ventricular Assist Device in Dementia: A Case Report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 38451550.
- Also identified by DOI 10.1089/jpm.2023.0064.
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Abstract
Left ventricular assistance devices (LVADs) are one type of life support with the unique quality of allowing recipients to live outside the hospital. This case report explores the decision by a patient and their family to withdraw LVAD therapy in the setting of dementia and consultant team recommendations at odds with one another due to the patient's simultaneous alertness and lack of decisional capacity. It then discusses the guiding principles that led to the withdrawal of LVAD therapy and lessons drawn from the experience by the care team.
Medical subject headings
- Heart-Assist Devices
- Dementia
- Withholding Treatment