Table 5.

Expert opinion on kidney dysfunction and left ventricular assist devices (LVADs)

Expert opinion review on renal disease with LVADs
 Identify and treat early right ventricular dysfunction with aggressive diuresis and ultrafiltration as needed
 Hemodialysis and peritoneal dialysis can be safely performed in patients with an LVAD in the outpatient setting
 Arteriovenous fistulas should be the first choice of chronic access for patients on hemodialysis
 Peritoneal dialysis should be considered in patients with an LVAD given slow continuous ultrafiltration
 Interdisciplinary teams including cardiologists, nephrologists, and nursing staff should be developed