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Consensus Report on Destination Therapy in Japan ― From the DT Committee of the Council for Clinical Use of Ventricular Assist Device Related Academic Societies ―
- Source :
- Circulation Journal. 85:1906-1917
- Publication Year :
- 2021
- Publisher :
- Japanese Circulation Society, 2021.
-
Abstract
- Destination therapy (DT) is the indication to implant a left ventricular assist device (LVAD) in a patient with stage D heart failure who is not a candidate for heart transplantation. The implantable LVAD has been utilized in Japan since 2011 under the indication of bridge to transplant (BTT). After almost 10 year lag, DT has finally been approved and reimbursed in May 2021 in Japan. To initiate the DT program in Japan, revision of the LVAD indication from BTT is necessary. Also, in-depth discussion of caregiver issues as well as end-of-life care is indispensable. For that purpose, we assembled a DT committee of multidisciplinary members in August 2020, and started monthly discussions via web-based communication during the COVID-19 pandemic. This is a summary of the consensus reached after 6 months' discussion, and we have included as many relevant topics as possible. Clinical application of DT has just started, and we are willing to revise this consensus to meet the forthcoming issues raised during real-world clinical experience.
- Subjects :
- Heart Failure
Bridge to transplant
2019-20 coronavirus outbreak
Consensus
Coronavirus disease 2019 (COVID-19)
SARS-CoV-2
business.industry
medicine.medical_treatment
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
COVID-19
General Medicine
medicine.disease
Japan
Ventricular assist device
medicine
Heart Transplantation
Humans
Stage D heart failure
Heart-Assist Devices
Medical emergency
Cardiology and Cardiovascular Medicine
business
Pandemics
End-of-life care
Destination therapy
Subjects
Details
- ISSN :
- 13474820 and 13469843
- Volume :
- 85
- Database :
- OpenAIRE
- Journal :
- Circulation Journal
- Accession number :
- edsair.doi.dedup.....f276a6f92d740a1462658d0a80397a02
- Full Text :
- https://doi.org/10.1253/circj.cj-21-0462