Mechanical Circulatory Support

Mechanical Circulatory Support

We provide expert LVAD implantation and care, as well as remote monitoring to improve life with heart failure.

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Why choose UCSF Health for mechanical circulatory support?

UCSF Health experts implant small mechanical heart pumps called ventricular assist devices (VADs) to support people living with advanced heart failure.

A VAD, about the size of a golf ball, supports heart function by improving blood flow, helping you feel less short of breath and more energetic. A left ventricular assist device (LVAD) is the most common heart support device.

We're a top referral hospital for advanced heart failure, LVAD implantation and heart transplants. Our program has an international reputation for expertise in performing total artificial heart (TAH) implantation.

At UCSF Health, you receive state-of-the-art procedures, devices and care. We use the most advanced, minimally invasive surgery for implanting devices, and we pioneered VAD at-home remote monitoring. Our goal is to help you have the best possible quality of life.

Mechanical circulatory support devices and care at UCSF Health

A VAD can significantly relieve common symptoms of advanced heart failure, including:

  • Fatigue

  • Leg swelling and fluid retention

  • Low blood pressure

  • Shortness of breath

However, many people who could benefit from mechanical circulatory support (MCS) devices may not know they're eligible. If you're experiencing symptoms, talk to your provider to find out if an MCS device may be right for you. Your provider can give you a referral to our program.

After we receive your referral, we perform a thorough evaluation. You may need to undergo several tests if you haven't already had them. These may include echocardiogram, cardiac catheterization and cardiopulmonary stress tests, ultrasound and CT scan, as well as other tests.

Your MCS specialist reviews the results of these tests to determine whether you are a good candidate for this treatment. If we find that VAD therapy is right for you, we coordinate the care with you and your cardiologist.

Advanced heart failure care

A device such as an LVAD can relieve heart failure symptoms and enable you to return to your favorite activities. Here's how we use VADs to save lives and improve quality of life:

  • Destination therapy. A VAD can provide a good quality of life for people who aren't candidates for a heart transplant.

  • Bridge to recovery. An LVAD can be part of a myocardial recovery program for people with damaged or weak hearts. The device allows people to take heart medications they previously couldn't tolerate. For some people, this support enables their heart function to return to normal.

  • Bridge to transplant. A VAD can be a critical treatment for people who qualify for a heart transplant but are currently too sick. An MCS device allows you to live at home while awaiting transplant, instead of staying in the hospital.

Comprehensive care and support

Our comprehensive care includes:

  • Medication management

  • Support group coordination

  • Remote monitoring support

  • Ongoing education and care

We're available 24/7 to help you or answer questions. Your team supports you from initial evaluation through long-term management as your partner in health.

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    Award-winning care

    We're known for our excellent outcomes, and U.S. News & World Report recognizes us as a leading hospital in the nation.
    • 25%

      lower than national average rate of hospital readmissions within 30 days after LVAD implant

    • 50%

      lower than national average rate of hospital readmissions within one year after LVAD implant

    • 30-35%

      lower than national average rate of most complications within two years after LVAD implant

    • One of the nation's best for heart & vascular care

    • Rated high-performing hospital for heart failure care

    • Ventricular assist device (VAD) program certified by the Joint Commission

    Related conditions & treatments

    Research initiatives

    Advanced heart failure care for kids

    Pediatric heart failure experts provide a full range of therapies, from medications to VADs to heart transplants. We're committed to giving children the best possible outcome and quality of life.