Renal Replacement Therapy
Dialysis management after left ventricular assist device implantation: a scoping review of modality, vascular access, and evidence gaps
Abstract Background Renal dysfunction is a common complication in patients supported with left ventricular assist devices (LVADs), and a subset requires long-term renal replacement therapy (RRT). The coexistence of right heart failure (RHF), venous congestion, and hemodynamic instability complicates dialysis management. However, evidence guiding dialysis modality and vascular access selection in this population remains limited, leaving key clinical decisions unsupported. Methods We conducted a scoping review in acc …