Table 5.
Comparison of device characteristics and indications for currently approved first- through third-generation LVADs
| First-Generation | Second-Generation | Third-Generation | |
|---|---|---|---|
| Flow Profile | Pulsatile | Continuous (Axial) | Continuous (Centrifugal) |
| Device Example | HeartMate XVE | HeartMate II | HeartWare HVAD |
| Device Size | 1150 grams | 290 grams | 160 grams |
| Recommended Anticoagulation | Aspirin Only | Aspirin + Coumadin | Aspirin + Coumadin |
| Power Source | Pneumatic or Electric | Electric | Electric |
| Implant Site | Abdomen | Abdomen/Chest | Pericardium |
| Approved Indication | BTT, DT | BTT, DT | BTT |
Abbreviations: BTT – bridge-to-transplant, DT – destination therapy