Harefield hospital, part of Guy’s and St Thomas’ NHS Foundation Trust, is internationally recognised for treating some of the most complex cases of advanced heart failure. It is home to one of the world’s most established ventricular assist device (VAD) programmes and is the only UK centre offering a pioneering minimally invasive approach to VAD implantation.
Advancing an established VAD service
With 30 years of VAD expertise, specialists at Harefield have refined a minimally invasive technique using just three small incisions. These advances have reduced operating times and enabled faster recovery, even in highly complex cases. Harefield’s strong clinical outcomes and commitment to innovation continue to attract international medical teams seeking advanced VAD training.
A bridge to transplantation
For patients with severe heart failure awaiting a heart transplant, VAD implantation is often used as a life-saving bridge to transplantation. Harefield’s first-year survival rate following VAD implantation is 85%, reflecting the centre’s expertise and rigorous standards of care.
Minimally invasive VAD surgery is particularly beneficial for patients who have previously undergone open-heart surgery. By avoiding repeat sternotomy, surgeons reduce the risks associated with scar tissue and adhesions from earlier procedures, helping to improve recovery.
A multidisciplinary team approach
“Our VAD programme comprises of advanced heart failure cardiologists, senior fellows, and VAD surgeons,” explains Mrs Maria Monteagudo-Vela, consultant cardiothoracic and transplant surgeon at Harefield. “Surgeons collaborate with physicians, nurses, allied health professionals and psychologists, alongside nutrition and pharmacy teams, to deliver world-class care. Our specialist heart failure nurses, support patients throughout every stage of their heart failure journey.”
When to refer a patient
Referral for VAD assessment should be considered for patients with advanced heart failure, experiencing persistent severe symptoms or requiring continuous inotropic support. Patients who are not stable on medical therapy alone while awaiting transplantation may be referred the specialist team for assessment of suitability for minimally invasive VAD surgery.
- Find out more at gstspecialistcare.co.uk
