Right ventricular failure after implantation of continuous flow left ventricular assist device: analysis of predictors and outcomes
| Autor: | Aidan Burrell, Casey Lo, Deirdre Murphy, Margaret Quayle, Robyn Summerhayes, Michael Bailey, Silvana Marasco |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Ventricular Dysfunction Right medicine.medical_treatment Population Cardiac index Decision Support Techniques Postoperative Complications Risk Factors Internal medicine medicine Humans education Aged Retrospective Studies Heart Failure Transplantation education.field_of_study Framingham Risk Score business.industry Retrospective cohort study Middle Aged medicine.disease Logistic Models Ventricular assist device Heart failure Preoperative Period Cardiology Female Heart-Assist Devices Complication business Follow-Up Studies |
| Zdroj: | Clinical Transplantation. 29:763-770 |
| ISSN: | 0902-0063 |
| Popis: | Postoperative right ventricular failure is a serious complication for up to 50% of patients following LVAD insertion. Predicting RV failure is an important factor for patients as planned BiVAD support has been shown to correlate with better outcomes compared to delayed BiVAD to LVAD conversion. This retrospective study examined prospectively collected data for 101 patients implanted with an LVAD between 2003 and 2013, aiming to establish preoperative predictive factors for RVF post-LVAD insertion, analyze outcomes, and validate existing RVF scoring systems. In our cohort, 63 patients (62.4%) developed RV failure and consequently demonstrated consistently poorer survival throughout the follow-up period (log-rank p = 0.01). Multivariable logistic regression identified two significant variables: cardiac index |
| Databáze: | OpenAIRE |
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