Ventricular assist devices (VADs) are increasingly applied to support patie
nts with advanced cardiac failure. While the benefit of VADs in supporting
this patient group is clear, substantial morbidity and mortality occur duri
ng the VAD implant period due to thromboembolic and infective complications
, Efforts at the University of Pittsburgh aimed at evaluating the blood bio
compatibility of VADs in the clinical, animal, and in vitro setting over th
e past decade are summarized. Emphasis is placed on understanding the mecha
nisms of thrombosis and thromboembolism associated with these devices.