Immediately contact the patient's VAD coordinator
Almost all LVAD patient presenting to the ED will require admission or transfer to a site of expertise
Left ventricular assist device complications
Bleeding - most common reason for ED visit, most common in first month after implant 
Heart transplant complications
GI bleeding is the most common source 
Aortic endograft complications
Mechanisms:
Cardiac ablation complications
Acquired Von Willebrand Disease 