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Mechanical Circulatory Support

The UCSF Mechanical Circulatory Support (MCS) Program uses various types of mechanical heart pumps to care for patients with advanced heart failure. These pumps – called ventricular assist devices or VADs -- can:

  • Support heart function and improve quality of life for patients awaiting a heart transplant.
  • Help a failing heart rest until other treatment options become viable
  • Improve quality of life where there are no remaining treatment options.

The most common type of support we provide are left ventricular assist devices, or LVADs.

When your heart failure symptoms become overwhelming and medications don't seem to be helping, your doctor will talk to you about mechanical circulatory support therapy. They can make a referral to our program to meet with an MCS cardiologist or surgeon.

As part of our evaluation, you may need to undergo several tests. These may include an echocardiogram, a cardiac catheterization and pulmonary function tests if you haven’t already had them, as well as other tests.

Your MCS doctor will review 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 will coordinate the care with you and your cardiologist.

Doctor referral required

Our locations

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    Patient education

    What to Expect: Getting a VAD Implanted

    At UCSF, surgeons use minimally invasive techniques to implant your ventricular assist device (VAD). Learn more here.

    FAQ: Living with a Ventricular Assist Device (VAD)

    Find frequently asked questions regarding living with a Ventricular Assist Device (VAD) including, taking medication, daily routines, exercise and more.

    Decorative Caduceus

    MitraClip REPAIR MR Study

    The proportion of subjects who are alive, without stroke, CV hospitalization or acute kidney injury requiring renal replacement therapy at 2 years in the Device and Control groups, respectively

    Recruiting

    Decorative Caduceus

    Sponsor-Initiated OCS Heart Perfusion Registry

    Patient survival at one-year post-heart transplant.

    Recruiting

    Decorative Caduceus

    remedē System Therapy Study

    Proportion of subjects with peri-operative and long-term serious adverse events (SAEs) related to the remedē System implant procedure, device or delivered therapy

    Recruiting

    Decorative Caduceus

    The EMPOWER Trial - The Carillon Mitral Contour System® in Treating Heart Failure With at Least...

    Freedom from a composite of major adverse events (defined as Device Embolization, Vessel Erosion, Cardiac Perforation, and occurrence of cardiac surgery or percutaneous coronary intervention) in the Intervention group is greater t...

    Recruiting

    Decorative Caduceus

    Clinical Evaluation of the AccuCinch® Ventricular Restoration System in Patients Who Present Wi...

    MAE defined as: 1. All-cause death, 2. Myocardial infarction, 3. Stroke, 4. Need for non-elective cardiovascular surgery, 5. Worsening of heart-failure requiring mechanical circulatory support for more than 24 ...

    Recruiting

    Decorative Caduceus

    Modulation of SERCA2a of Intra-myocytic Calcium Trafficking in Heart Failure With Reduced Eject...

    New York Heart Association classification (I, II, III or IV)

    Recruiting

    Decorative Caduceus

    Levothyroxine Supplementation for Heart Transplant Recipients

    Measured using the vasoactive-inotropic score (VIS) scale. VIS calculation: dopamine dose (μg/kg/min) + dobutamine dose (μg/kg/min) + 100 × epinephrine dose (μg/kg/min) + 10 × milrinone dose (μg/kg/min) + 10 000 × vasopressin dos...

    Recruiting

    Decorative Caduceus

    Early Feasibility Study - Transcatheter Atrial Shunt System

    Recruiting

    Decorative Caduceus

    Early Feasibility Study - Transcatheter Atrial Shunt System

    Recruiting

    Decorative Caduceus

    Remote Dielectric Sensing (ReDS) Assisted Diuresis in Acute Decompensated Heart Failure

    Cumulative net fluid balance assessed by In's and Out's recorded in the Electronic Medical Record (EMR) during hospitalization

    Recruiting

    Awards & recognition

    • usnews-neurology

      Among the top hospitals in the nation

    • One of the nation's best in cardiology and heart & vascular surgery

    • Rated high-performing hospital for heart failure

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

    • 30p-2x

      lower rate of hospital readmissions

    • 30-50-2x

      lower rate of most complications

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    Preparing for your appointment

    What to Bring

    • Photo I.D.
    • Health insurance card
    • Insurance authorization, if required
    • Doctor's referral, if required
    • Recent test results related to your condition
    • List of your medications, including dosages, plus any you're allergic to
    • List of questions you may have
    • Device or paper for taking notes

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    Related clinics

    Advanced Heart Failure Comprehensive Care Center

    400 Parnassus Ave., Fifth Floor
    San Francisco, CA 94143

    Heart Transplant Program

    400 Parnassus Ave., Fifth Floor
    San Francisco, CA 94143

    San Mateo Primary and Specialty Care

    1100 Park Place, Suite 100
    San Mateo, CA 94403

    Our research initiatives

    • UCSF-Heart-Failure-and-Pulmonary-Hypertension-Research-2x

      UCSF Heart Failure and Pulmonary Hypertension Research

      The UCSF Division of Cardiology conducts research aimed at improving the understanding and treatment of pulmonary hypertension and heart failure.

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