Differences in Pulsatile and Non-pulsatile Mechanical Circulatory Support in Long-Term Use

Although echocardiographic data show that pulsatile LVADs seem to better unload the LV, this could not be confirmed by data from right ventricle catheterization. Owing to sufficient LV unloading, longer device durability, less need of anticoagulation therapy, and greater quality of life, non-pulsatile devices are preferred for long-term use. Nevertheless, both systems can be used with good quality of life and an acceptable rate of complications for extended periods of time.