{"schema_version":"bookimed.page-context.v1","id":"heart-failure-clinics","url":"https://hub.bookimed.com/heart-surgery/heart-failure-clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-failure-clinics.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"clinic-directory","title":"Advanced heart failure clinics and specialist centres","summary":"Advanced heart failure clinics and specialist centres differ in the anatomy they treat, techniques they offer and evidence they publish. Advanced heart-failure care may treat a reversible coronary or valve problem, support the circulation with an LVAD, or assess transplantation. These are different pathways with different eligibility and long-term care requirements.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"2 named clinics and specialist centres","text":"Duke University Hospital, Heart and Diabetes Center NRW.","sources":["pd-adult-duke-programme","SP08"]},{"label":"Repeated admissions can signal a need for specialist review","text":"Severe symptoms and intolerance of treatment despite maximally tolerated care are also referral indicators.","sources":["C15"]},{"label":"Transplant assessment is not a transplant slot","text":"Eligibility, listing and international access follow the programme’s own rules.","sources":[]}],"benefits":[{"text":"An advanced heart-failure centre brings medical, device and surgical options into one assessment.","sources":["C15"]}],"limitations":[{"text":"LVADs require ongoing equipment and device care; transplantation requires continuing anti-rejection treatment. Both need dependable support after discharge.","sources":["C16"]}],"sections":[{"id":"directory","title":"Advanced heart failure clinics and specialist centres","text":"Advanced heart failure clinics and specialist centres 2 programmes shown Select up to 3 hospitals to compare their reported services and teams. View selected hospitals ↓ Duke University Hospital entrance, from Duke Health’s official hospital-location image. · Photo source United States · Durham, North Carolina Duke University Hospital Advanced heart failure clinical focus Duke’s advanced heart-failure service includes transplantation, durable LVADs, temporary ECMO and total artificial-heart support under Schroder’s surgical leadership. Procedures and specialists aortic valve repair valve-sparing root replacement aortic arch and thoracoabdominal repair thoracic endovascular aortic repair heart transplantation LVAD ECMO total artificial heart selected surgery with severely reduced LV function Jacob N. Schroder → Read the clinic profile ↗ What this means for your choice The linked specialist profiles distinguish clinical practice, published cohorts and treatment methods. Advanced heart failure guide ↗ Clinic, specialists and research → Compare this hospital Sources: Jacob N. Schroder named Surgical Director for Advanced Heart Failure Photograph published by HDZ NRW’s Department of Thoracic and Cardiovascular Surgery. · Photo source Germany · Bad Oeynhausen Heart and Diabetes Center NRW Advanced heart failure clinical focus HDZ NRW combines transplantation and mechanical circulatory support with dedicated VAD coordinators. Its heart-failure service connects inpatient care, outpatient follow-up and ongoing device support. Procedures and specialists heart transplantation mechanical circulatory support VAD follow-up integrated heart failure care Jan Gummert → Read the clinic profile ↗ What this means for your choice The linked specialist profiles distinguish clinical practice, published cohorts and treatment methods. Advanced heart failure guide ↗ Clinic, specialists and research → Compare this hospital Sources: Thoracic and cardiovascular surgery · Heart failure centre Your hospital comparison Compare the treatment each team would propose for the same scan, anatomy and recovery goals.","links":[{"label":"Photo source","url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md"},{"label":"Duke University Hospital","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/"},{"label":"Jacob N. Schroder →","url":"https://hub.bookimed.com/heart-surgery/doctor-jacob-schroder/"},{"label":"Read the clinic profile ↗","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/"},{"label":"Advanced heart failure guide ↗","url":"https://hub.bookimed.com/heart-surgery/heart-failure-surgery/"},{"label":"Clinic, specialists and research →","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/"},{"label":"Jacob N. Schroder named Surgical Director for Advanced Heart Failure","url":"https://surgery.duke.edu/news/jacob-n-schroder-md-named-surgical-director-advanced-heart-failure"},{"label":"Photo source","url":"https://www.hdz-nrw.de/kliniken-institute/kliniken/klinik-fuer-thorax-und-kardiovaskularchirurgie.html"},{"label":"Heart and Diabetes Center NRW","url":"https://hub.bookimed.com/heart-surgery/clinic-hdz-nrw/"},{"label":"Jan Gummert →","url":"https://hub.bookimed.com/heart-surgery/doctor-jan-gummert/"},{"label":"Read the clinic profile ↗","url":"https://hub.bookimed.com/heart-surgery/clinic-hdz-nrw/"},{"label":"Advanced heart failure guide ↗","url":"https://hub.bookimed.com/heart-surgery/heart-failure-surgery/"},{"label":"Clinic, specialists and research →","url":"https://hub.bookimed.com/heart-surgery/clinic-hdz-nrw/"},{"label":"Thoracic and cardiovascular surgery","url":"https://www.hdz-nrw.de/kliniken-institute/kliniken/klinik-fuer-thorax-und-kardiovaskularchirurgie.html"},{"label":"Heart failure centre","url":"https://www.hdz-nrw.de/behandlung/behandlungszentren/zentrum-fuer-herzinsuffizienz.html"}],"tables":[[]]},{"id":"benefit-balance","title":"Clinical benefits and trade-offs","text":"Clinical benefits and trade-offs Potential advantages An advanced heart-failure centre brings medical, device and surgical options into one assessment. Sources: AHA: advanced heart-failure referral Trade-offs and limits LVADs require ongoing equipment and device care; transplantation requires continuing anti-rejection treatment. Both need dependable support after discharge. Sources: AHA: advanced heart-failure options","links":[{"label":"AHA: advanced heart-failure referral","url":"https://professional.heart.org/en/science-news/guidance-for-timely-and-appropriate-referral-of-patients-with-advanced-heart-failure"},{"label":"AHA: advanced heart-failure options","url":"https://www.heart.org/en/health-topics/heart-failure/living-with-heart-failure-and-managing-advanced-hf/recognizing-advanced-heart-failure-and-knowing-your-options"}]},{"id":"selection","title":"How these clinics and specialist centres were selected","text":"How these clinics and specialist centres were selected This list contains 2 clinics and specialist centres with a documented advanced heart failure focus in our source-linked directory. It is an editorial shortlist, not a census or an outcome ranking. Institutional expertise and published study results are identified separately. An individual doctor may participate in several treatment pathways; a study of one procedure does not establish outcomes for another. How we find specialists ↗ Heart failure, LVAD & transplant ↗","links":[{"label":"How we find specialists ↗","url":"https://hub.bookimed.com/heart-surgery/specialist-research-method/"},{"label":"Heart failure, LVAD & transplant ↗","url":"https://hub.bookimed.com/heart-surgery/heart-failure-surgery/"}]}],"introduction":"Heart surgery guide / Compare clinics / Advanced heart failure clinics and specialist centres Advanced heart failure clinics and specialist centres · Decision guide Advanced heart failure clinics and specialist centres 2 clinics and specialist centres with linked profiles, clinical focus and attributable evidence. Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance Advanced heart failure clinics and specialist centres differ in the anatomy they treat, techniques they offer and evidence they publish. Advanced heart-failure care may treat a reversible coronary or valve problem, support the circulation with an LVAD, or assess transplantation. These are different pathways with different eligibility and long-term care requirements. 2 named clinics and specialist centres Duke University Hospital, Heart and Diabetes Center NRW. Sources: Duke Center for Aortic Disease combines cardiothoracic and vascular surgery · Thoracic and cardiovascular surgery Repeated admissions can signal a need for specialist review Severe symptoms and intolerance of treatment despite maximally tolerated care are also referral indicators. Sources: AHA: advanced heart-failure referral Transplant assessment is not a transplant slot Eligibility, listing and international access follow the programme’s own rules.","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"clinics","title":"Heart surgery clinics: compare techniques and specialist teams","kind":"directory","url":"https://hub.bookimed.com/heart-surgery/clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinics.json"},{"id":"heart-failure-surgery","title":"Heart failure surgery: underlying causes, LVAD and transplant","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/heart-failure-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-failure-surgery.json"},{"id":"doctor-jacob-schroder","title":"Jacob N. Schroder: heart transplantation and LVAD care","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-jacob-schroder/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-jacob-schroder.json"},{"id":"doctor-jan-gummert","title":"Jan Gummert: LVAD and heart transplant surgery","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-jan-gummert/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-jan-gummert.json"},{"id":"clinic-duke","title":"Duke University Hospital: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-duke.json"},{"id":"clinic-hdz-nrw","title":"Heart and Diabetes Center NRW: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-hdz-nrw/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-hdz-nrw.json"},{"id":"specialist-research-method","title":"How we research heart surgery specialists","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/specialist-research-method/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/specialist-research-method.json"}],"sources":{"C15":{"id":"C15","title":"Guidance for Timely and Appropriate Referral of Patients With Advanced Heart Failure","url":"https://professional.heart.org/en/science-news/guidance-for-timely-and-appropriate-referral-of-patients-with-advanced-heart-failure","publisher":"American Heart Association","published":"2021-09-10","read_at":"2026-10-07","source_type":"Official scientific-statement overview"},"C16":{"id":"C16","title":"Recognizing Advanced Heart Failure and Knowing Your Options","url":"https://www.heart.org/en/health-topics/heart-failure/living-with-heart-failure-and-managing-advanced-hf/recognizing-advanced-heart-failure-and-knowing-your-options","publisher":"American Heart Association","published":"2025-06-19 (review)","read_at":"2026-10-07","source_type":"Society patient information"},"pd-adult-hughes-official":{"title":"G. Chad Hughes, MD","publisher":"Duke Health","url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md","read_at":"2026-10-08","kind":"official provider or programme page","support":"Active adult heart surgeon; valve repair, valve-sparing root, arch, thoracoabdominal, TEVAR and TAVR expertise.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/hughes-official.txt"},"pd-adult-duke-programme":{"title":"Duke Center for Aortic Disease combines cardiothoracic and vascular surgery","publisher":"Duke Health","url":"https://physicians.dukehealth.org/articles/duke-center-aortic-disease-combines-expertise-cardiothoracic-and-vascular-surgery","read_at":"2026-10-08","kind":"official provider or programme page","support":"Hughes is co-director and aortic surgery section chief; coordinated imaging/genetics/lifelong follow-up.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/web-body-observations.md","published_at":"2025-08-05"},"SP06":{"title":"Jacob N. Schroder named Surgical Director for Advanced Heart Failure","publisher":"Duke Department of Surgery","url":"https://surgery.duke.edu/news/jacob-n-schroder-md-named-surgical-director-advanced-heart-failure","read_at":"2026-10-08","source_kind":"official-institution","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/schroder-role.txt","supports":"Remit includes heart transplantation, LVAD, ECMO, total artificial heart and conventional cardiac surgery with severely reduced LV function; direct DCD transplant operator history.","limitations":"Appointment story dated 2024; title cross-checked against live SP05. Historical volumes are not current annual performance.","published_at":"2024-01-22"},"SP08":{"title":"Thoracic and cardiovascular surgery","publisher":"Heart and Diabetes Center NRW","url":"https://www.hdz-nrw.de/kliniken-institute/kliniken/klinik-fuer-thorax-und-kardiovaskularchirurgie.html","read_at":"2026-10-08","source_kind":"official-institution","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/hdz-surgery.txt","supports":"Heart transplantation, mechanical support, dedicated VAD coordinators and transplant follow-up.","limitations":"Department services and support are not an individual surgeon procedure count."},"SP09":{"title":"Heart failure centre","publisher":"Heart and Diabetes Center NRW","url":"https://www.hdz-nrw.de/behandlung/behandlungszentren/zentrum-fuer-herzinsuffizienz.html","read_at":"2026-10-08","source_kind":"official-institution","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/hdz-hf.txt","supports":"Integrated outpatient/inpatient heart failure management across departments; named contacts Costard-Jäckle and Schramm.","limitations":"Does not imply the surgical department director personally leads every HF consultation."}}}