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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

    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

    ALT-FLOW II Trial of the Edwards APTURE Transcatheter Shunt System

    Shunt implant safety: proportion of patients in the APTURE shunt group without any serious device or procedure-related (CEC adjudicated) complications (i.e., Major Adverse Cardiovascular, Cerebrovascular, and Renal Events [MACCRE]...

    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

    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

    Decorative Caduceus

    Pulmonary Hypertension Association Registry

    PAH guideline-recommended diagnostics assessed include chest radiography, echocardiogram, ventilation-perfusion (V/Q) scan, pulmonary function tests, overnight oximetry, and right heart catheterization and identified as either "co...

    Recruiting

    Decorative Caduceus

    DORAYA-HF Early Feasibility Study

    Device or procedure related SAEs rate (including MACE) based on CEC adjudication.

    Recruiting

    Decorative Caduceus

    AN INTERNATIONAL, OBSERVATIONAL, BLINDED STUDY TO ASSESS THE PERFORMANCE OF THE CORDIO HEARO SY...

    Until the end of the study, each participant will be assigned to one of the following event outcomes: 1. Having at least one protocol-defined Heart Failure Event (HFE) in the CORE period 2. Having no Heart Failure Event (HFE...

    Recruiting

    Decorative Caduceus

    A Silver Lining in the VAD Sky

    rate of driveline infection per 100 patient

    Recruiting

    Awards & recognition

    • U S  News and World Report badge recognizing UCSF as part of its 2024-2025 Honor Roll

      Among the top hospitals in the nation

    • One of the nation's best for 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.
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    • 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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