Destination nowhere: A potential dilemma with ventricular assist devices

Katrina A. Bramstedt*

*Corresponding author for this work

Research output: Contribution to journalComment/debateResearchpeer-review

19 Citations (Scopus)

Abstract

Increasingly, ventricular assist devices (VADs) are used as destination therapy for those who are not candidates for heart transplantation. Although these devices can benefit patients by improving their functional status and quality of life, they can, in some cases, facilitate an end-point known as "destination nowhere." In such situations, patients and clinicians find themselves in medical limbo where the patient's net benefit is, in fact, a burden, or the continued use of the device has no utility in light of the goals of the technology. This article presents guidance for avoiding "destination nowhere," as well as guidance for ethical care when patients arrive at this juncture.

Original languageEnglish
Pages (from-to)1-2
Number of pages2
JournalASAIO Journal
Volume54
Issue number1
DOIs
Publication statusPublished - Jan 2008
Externally publishedYes

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