Sleeve Gastrectomy in Patients with Continuous-Flow Left Ventricular Assist Devices: a Systematic Review and Meta-Analysis
| Autor: | Vakhtang Tchantchaleishvili, John W. Entwistle, Jothika Challapalli, Devon E. Cross, H. Todd Massey, Rajesh Aggarwal, David J. Whellan, Rohinton J. Morris, Jae Hwan Choi, Matthew P. Weber, Elizabeth J. Maynes, Thomas J. O’Malley, Andrew J. Boyle |
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| Rok vydání: | 2020 |
| Předmět: |
Heart transplantation
medicine.medical_specialty Sleeve gastrectomy Nutrition and Dietetics business.industry Endocrinology Diabetes and Metabolism medicine.medical_treatment Incidence (epidemiology) 030209 endocrinology & metabolism medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Heart failure Ventricular assist device Inclusion and exclusion criteria medicine 030211 gastroenterology & hepatology business Body mass index Contraindication |
| Zdroj: | Obesity Surgery. 30:4437-4445 |
| ISSN: | 1708-0428 0960-8923 |
| Popis: | A body mass index (BMI) > 35 kg/m2 is a relative contraindication to heart transplantation in patients with end-stage heart failure. Bariatric surgery can be considered either concomitantly with continuous-flow left ventricular assist device (CF-LVAD) placement, or staged after CF-LVAD has been placed. We sought to evaluate the outcomes of these approaches. An electronic search was performed to identify all relevant studies. After assessment for inclusion and exclusion criteria, eight studies were pooled for systematic review and metaanalysis. Overall, of 59 patients, 22 (37%) underwent simultaneous sleeve gastrectomy with CF-LVAD implantation while 37 (63%) underwent staged sleeve gastrectomy after CF-LVAD. The mean age of patients was 46 years (95% CI: 39–53) with 40% females. Mean BMI at most recent follow-up (33.4 kg/m2, 95% CI: 30.2–36.6) was significantly lower compared with mean preoperative BMI (46.7 kg/m2, 95% CI: 42.9–50.6) (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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