Canadian Cardiovascular Society focused position statement update on assessment of the cardiac patient for fitness to drive: fitness following left ventricular assist device implantation

The Canadian Journal of Cardiology
Roger BaskettCanadian Cardiovascular Society

Abstract

There have been significant advances in mechanical circulatory support during the past several years. Older pulsatile models of left ventricular assist devices (LVADs) (also known as VADs) have shown improved outcomes compared with medical therapy but have had limited durability and significant morbidity associated with their use. For this reason, Canadian Cardiovascular Society 2003 guidelines recommended permanent cessation of driving in these patients (for both private and commercial vehicle operation). However, recent advances with newer, continuous-flow devices have resulted in much lower rates of device-related complications and greater use of these devices for destination therapy. The majority of patients now are discharged home and lead active lives subsequently. Based on new evidence applied to the Society's "Risk of Harm" formula, it has been determined that patients with continuous-flow devices who are doing well 2 months post implantation are fit to hold noncommercial class drivers' licenses.

References

Jul 18, 2009·Journal of the American College of Cardiology·Francis D PaganiUNKNOWN HeartMate II Investigators
Nov 19, 2009·The New England Journal of Medicine·Mark S SlaughterUNKNOWN HeartMate II Investigators
Feb 4, 2010·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinJames B Young
Apr 22, 2010·European Journal of Heart Failure·Hanno OswaldMartin Strüber
Apr 24, 2010·Journal of the American College of Cardiology·Joseph G RogersUNKNOWN HeartMate II Investigators
Jun 1, 2010·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Keith M SwetzSoon J Park
Jan 11, 2011·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James K KirklinJames B Young

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Citations

Feb 18, 2016·Clinical Research in Cardiology Supplements·Detlev WillemsenJ Glatz
Feb 26, 2014·The Canadian Journal of Cardiology·Liane F Porepa, Randall C Starling
Dec 7, 2007·Journal of the American College of Cardiology·Christine M AlbertUNKNOWN TOVA Investigators
Jun 9, 2016·The American Journal of Medicine·Diane NaouriYouri Yordanov
Mar 13, 2020·Expert Review of Medical Devices·Jacopo F ImbertiGiuseppe Boriani
May 18, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Evgenij V PotapovFinn Gustafsson
Aug 18, 2018·Artificial Organs·Jasmin S HankeJan D Schmitto

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