A client is awaiting the availability of a heart for transplant. What option may be available to the client as a bridge to transplant?
A) Implanted cardioverter-defibrillator (ICD)
B) Pacemaker
C) Intra-aortic balloon pump (IABP)
D) Ventricular assist device (VAD)
D
Feedback:
VADs may be used for one of three purposes: (1) a bridge to recovery, (2) a bridge to transport, or (2) destination therapy (mechanical circulatory support when there is no option for a heart transplant). An implanted cardioverter-defibrillator or pacemaker is not a bridge to transplant and will only correct the conduction disturbance and not the pumping efficiency. An IABP is a temporary, secondary mechanical circulatory pump to supplement the ineffectual contraction of the left ventricle. The IABP is intended for only a few days.
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