HeartMate 3 LVAD Overview | Abbott
CARDIOVASCULAR
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About HeartMate 3 LVAD

The HeartMate​ 3™​ Left Ventricular Assist Device (LVAD) is a mechanical circulatory support device designed for patients with advanced heart failure. With significantly improved outcomes and survival comparable to heart transplant at 2 years, our LVAD device technology is making a better future possible for many patients with advanced heart failure.*1-3 The HeartMate​ 3 LVAD has advanced the field of LVAD therapy and is setting the standard with innovation and outstanding clinical outcomes.1

The Full MagLev Flow Technology within the HeartMate 3 LVAD maintains gentle blood handling to minimize complications and hemocompatibility-related adverse events.

HeartMate 3 LVAD with Full MagLev Flow Technology Pump offers:

  • Fully levitated, self-centering rotor, which does not require hydrodynamic or mechanical bearings
  • Large, consistent blood flow pathways, which reduces shear stress4
  • Intrinsic pulsatility, which reduces stasis and minimize thrombus4,5
Cut across view of the HeartMate 3 Maglev Pump

Indications:

The HeartMate 3 Left Ventricular Assist System is indicated for providing short- and long-term mechanical circulatory support (e.g., as bridge to transplant or myocardial recovery, or destination therapy) in adult and pediatric patients with advanced refractory left ventricular heart failure and with an appropriate body surface area.

Contraindications:

The HeartMate 3 Left Ventricular Assist System is contraindicated for patients who cannot tolerate, or who are allergic to, anticoagulation therapy.

View Indications, Safety & Warnings

HeartMate 3 LVAD Clinical Evidence

There are comprehensive clinical evidence materials available to learn about the survival rate and patient improvement associated with the HeartMate 3 LVAD. For a deep dive into the clinical data, visit Clinical Evidence and Momentum 3 Trial information.

MOMENTUM 3 5-Year Outcomes

MOMENTUM 3 is the largest LVAD trial ever conducted demonstrating excellent survival and safety outcomes with HeartMate 3™ LVAD.**1


HEARTMATE 3™ LVAD, a proven long-term, life-extending therapy for patients with advanced heart failure
 

Median survival
exceeding
5 years6

FPO

58.4%
survival at
5 years6

Nearly 60%

Improved Safety Profile7

The ELEVATE Registry7 evaluated the real-world experience of the HeartMate 3 LVAD in a post-approval setting. 5-year extended follow-up showed:
 

Stroke
10.8% in first 2 years
3.6% in years 2-5

Thrombosis
1.1% at 5 years

All major event types were reduced in the 2-5 years follow-up period compared to 0-2 years, especially hemocompatiblity-related adverse events.

ELEVATE Registry

HeartMate 3 LVAD Education and Training

For the safe and effective management of advanced heart failure with the HeartMate 3 LVAD, we provide comprehensive educational resources. The following resources are designed to help you better understand patient education, use cases, surgical procedure and more.

Reimbursement & Coding Highlights

Our coding and reimbursement documents provide information about coverage, coding and payment, economic insights and supporting documentation for Abbott LVAD and mechanical circulatory support products.

National Coverage Determination for Ventricular Assist Devices

On December 1, 2020, the Centers for Medicare and Medicaid Services (CMS) updated the final decision memo for National Coverage Determination (NCD 20.9.1) for Ventricular Assist Devices.

CMS removed the pre-implant designations (bridge-to-transplant and destination therapy) in favor of central clinical criteria for qualification of VADs for the purpose of coverage and payment effective for dates of services on and after December 1, 2020.

To access the final decision memo and the analysis in its entirety please go to cms.gov.
 

Mechanical Circulatory Support (MCS) Coding Guide

This Medicare coding and payment guide covers the HeartMate 3™ LVAS and other mechanical circulatory support products.

Abbott Coverage and Frequently Asked Questions Guide Mechanical Circulatory Support

This guide provides coverage and reimbursement information for the implantable HeartMate 3 Left Ventricular Assist Device (LVAD) and other procedures.

HCPCS Device Category C-codes

This link offers a current list of reimbursement Healthcare Procedural Coding System Device Category C-codes.

For the full resource list, visit Reimbursement & Coding for left ventricular assist devices.

  • Manuals & Resources
    Manuals & Resources
  • Find a HeartMate 3 LVAD Center
    Find a HeartMate 3 LVAD Center
  • Customer Service
    Customer Service

*Based on published data from separate datasets, which may involve different patient populations and other variables. Not a head-to-head comparison. Data presented for informational purposes only.
**HeartMate 3 LVAD demonstrated superiority in event-free survival (primary endpoint) in the MOMENTUM 3 trial compared to HeartMate II™ LVAD.

§For a continuous-flow LVAD in a randomized controlled trial.

References

  1. Mehra M, Uriel N, Naka Y, et al. A Fully Magnetically Levitated Left Ventricular Assist Device-Final Report. N Engl J Med. 2019;380:1618-1627.
  2. Khush KK, Cherikh WS, Chambers DC, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty-fifth Adult Heart Transplant Report-2018; Focus Theme: Multiorgan Transplantation. J Heart Lung Transplant. 2018;37:1155-1168.
  3. Teuteberg JJ, Cleveland JC Jr, Cowger J, et al. The Society of Thoracic Surgeons Intermacs 2019 Annual Report: The Changing Landscape of Devices and Indications. Ann Thorac Surg. March 2020;109(3):649-660.
  4. Bourque K, Cotter C, Dague C, et al. Design rationale and preclinical evaluation of the HeartMate 3 Left Ventricular Assist System for hemocompatibility. Am Soc Artificial Int Organs. 2016;62:375-383.
  5. Bourque K, Dague C, Farrar D, et al. In vivo assessment of a rotary left ventricular assist device-induced artificial pulse in the proximal and distal aorta. Artificial Organs. 2006;30:638-642.
  6. Mehra MR, Goldstein DJ, Cleveland JC, et al. Five-year outcomes in patients with fully magnetically levitated vs axial-flow left ventricular assist devices in the MOMENTUM 3 randomized trial. JAMA. 2022;328(12):1233-1242. doi:10.1001/jama.2022.16197.
  7. Schmitto JD, Shaw S, Garbade J, et al. Long-Term Results in Real World Patients Treated with HeartMate 3 LVAD for Advanced Heart Failure: Data from the ELEVATE Registry. European Association for Cardio-Thoracic Surgery (EACTS) Annual Meeting; October 8, 2022; Milan, Italy.

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