Non-cardiac surgery in patients with continuous-flow left ventricular assist devices: a single institutional experience.
Publication/Presentation Date
6-1-2017
Abstract
With improvements in life expectancy for patients with continuous-flow left ventricular assist devices (LVADs), non-cardiac surgeons will increasingly encounter surgical problems in this population. 209 patients underwent LVAD placement between 10/1/2007 and 6/1/2015 at a single institution. Survival was compared between patients who had non-cardiac surgery (NCS) during the initial LVAD implantation hospitalization (n=36) and those who had NCS only in subsequent hospitalizations (n=33). Postoperative complication rates were examined. Index admission NCS was associated with lower 5-year survival compared with subsequent admission NCS (27.1% vs 39.4%, p=0.017). In subsequent admissions, the risks of bleeding and infectious complications were the same for elective or urgent NCS, but the risk of death was higher in the urgent surgery group. We conclude that elective NCS can be performed with low risk of death or LVAD dysfunction after sufficient recovery of patients from LVAD implantation.
Volume
65
Issue
5
First Page
912
Last Page
918
ISSN
1708-8267
Published In/Presented At
Chen, C. W., Dumon, K. R., Shaked, O., Acker, M. A., Atluri, P., & Dempsey, D. T. (2017). Non-cardiac surgery in patients with continuous-flow left ventricular assist devices: a single institutional experience. Journal of investigative medicine : the official publication of the American Federation for Clinical Research, 65(5), 912–918. https://doi.org/10.1136/jim-2016-000297
Disciplines
Medicine and Health Sciences
PubMedID
28341625
Department(s)
Department of Surgery
Document Type
Article