%0 Journal Article %A Randall C. Starling %T Advanced heart failure: Transplantation, LVADs, and beyond %D 2013 %R 10.3949/ccjm.80gr.12003 %J Cleveland Clinic Journal of Medicine %P 33-40 %V 80 %N 1 %X For patients with advanced heart failure, outcomes are good after heart transplantation, but not enough donor hearts are available. Fortunately, mechanical circulatory assist devices have become an excellent option and should be considered either as a bridge to transplantation or as “destination therapy.” Current mechanical circulatory assist devices improve quality of life in patients who are candidates. %U https://www.ccjm.org/content/ccjom/80/1/33.full.pdf