PT - JOURNAL ARTICLE AU - Randall C. Starling TI - Advanced heart failure: Transplantation, LVADs, and beyond AID - 10.3949/ccjm.80gr.12003 DP - 2013 Jan 01 TA - Cleveland Clinic Journal of Medicine PG - 33--40 VI - 80 IP - 1 4099 - http://www.ccjm.org/content/80/1/33.short 4100 - http://www.ccjm.org/content/80/1/33.full SO - Cleve Clin J Med2013 Jan 01; 80 AB - 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.