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Ethical Dilemmas Surrounding the Use of Ventricular Assist Devices in Supporting Patients with End-Stage Organ Dysfunction

Authors:

Courtenay R. Bruce ,

The Methodist Hospital, Houston, Texas; Baylor College of Medicine, Houston, Texas, US
About Courtenay R.
J.D., M.A.
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Baruch Brody,

Rice University, Houston, Texas, US
About Baruch
Ph.D.
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Mary A. Majumder

The Methodist Hospital, Houston, Texas; Baylor College of Medicine, Houston, Texas, US
About Mary A.
J.D., Ph.D.
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Abstract

Successful practice of cardiovascular medicine requires familiarity with the complex ethical issues that accompany therapeutic innovation and diffusion. Even as technologies transition from experimental to standard care, challenges remain. Mechanical circulatory support devices, for instance, are increasingly conceptualized as conventional therapies. Despite this, or perhaps because of it, the ethical issues surrounding the use of these devices in patients with end-stage organ dysfunction are becoming increasingly apparent. In this paper, we provide an introduction to ethical considerations related to the use of ventricular assist devices (VADs) in end-stage organ failure, focusing on three stages or decision points: initiation, continued use, and deactivation. Our goal is not to exhaustively resolve these dilemmas but to illustrate how ethical considerations relate to decision making.

How to Cite: 1. Bruce CR, Brody B, Majumder MA. Ethical Dilemmas Surrounding the Use of Ventricular Assist Devices in Supporting Patients with End-Stage Organ Dysfunction. Methodist DeBakey Cardiovascular Journal. 2013;9(1):11-14. DOI: http://doi.org/10.14797/mdcj-9-1-11
Published on 01 Jan 2013.
Peer Reviewed

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