Back to Search Start Over

Consensus Report on Destination Therapy in Japan ― From the DT Committee of the Council for Clinical Use of Ventricular Assist Device Related Academic Societies ―

Authors :
Kaoruko Aita
Teruhiko Imamura
Norihide Fukushima
Miyoko Endo
Koichi Kashiwa
Hiroyuki Kojin
Akira Shiose
Shinichi Nunoda
Koichiro Kinugawa
Yoshiki Sawa
Koichi Toda
Minoru Ono
Yasushi Sakata
Yutaka Tejima
Dai Yumino
Yumiko Hori
Shogo Oishi
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.

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