We have a highly skilled team who can provide a wide range of services from diagnosis to treatment.
A percutaneous ventricular assist device (PVAD) is a small mechanical pump that gives short-term support to the heart from a few hours up to 15 days. It's typically used to give your heart time to strengthen if you have heart failure due to heart surgery or a heart attack.
The PVAD is worn outside the body, on your abdominal wall, and is connected to the circulatory system by inserting tubes into the femoral artery. It connects to a driver that operates the pump and a controller that provides feedback when adjusting or repairing your system.
PVADs are most often used as temporary support in preparation for LVAD (left ventricular assist device) implantation. They can help increase heart function and blood circulation until doctors can implement a long-term therapy to treat advanced disease.
Percutaneous coronary intervention (PCI)—a method that uses a catheter to place a stent in vessels—is increasingly used in cases where open vascular surgery is too risky.
Presbyterian Heart and Vascular Care has a skilled interventional cardiology team who can provide a wide range of interventional and structural heart treatments. Their interventional cardiologists are trained in many different techniques and procedures, many of which can provide you with a shorter recovery period and the opportunity to recover at home.
Your doctor may consider a PVAD for you if:
Your doctor will review several factors to decide if a VAD is appropriate, including whether:
Your doctor will also evaluate your condition with several tests, including:
A weak heart or chronic heart failure can be treated with PVAD.
Your doctor and treatment team will explain what to expect before, during, and after the procedure.
You'll need to have your hair shaved off the area where the procedure will take place.
Discuss the help you may need with your family. Your doctor will give you specific instructions for your recovery at home.
Talk to your doctor about:
Your treatment team may recommend that you bring several items to the hospital, including:
In the PVAD procedure, the actual pump is inserted through a catheter in the leg, neck or armpit and guided through the arteries to the heart.
The PVAD consists of a mini pump motor, an inlet area situated in the left or right ventricle that draws blood into the device, and an outlet area in the aorta or pulmonary artery that expels blood into the body or lungs.
You'll need follow-up appointments with your doctor once a week for the first month.
Follow-up appointments may include a physical examination, several tests and making sure the device is working well. These follow-up appointments will be less often as you recover.
Your doctor may also recommend that you participate in a cardiac rehabilitation program to improve your long term health and recovery. Cardiac rehabilitation will help you adopt healthy lifestyle changes.
You may be able to return to many of your daily life activities. Your doctor can discuss what activities are appropriate for you.