RT Journal Article SR Electronic T1 Advanced heart failure: Transplantation, LVADs, and beyond JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 33 OP 40 DO 10.3949/ccjm.80gr.12003 VO 80 IS 1 A1 Starling, Randall C. YR 2013 UL http://www.ccjm.org/content/80/1/33.abstract 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.