Long-Term Outcomes in Ventricular Assist Device Outflow Cannula Anastomosis to the Descending Aorta
| Autor: | Mustafa Özbaran, Ander Dorken Gallastegi, Sanem Nalbantgil, Çağatay Engin, Elif B. Hoşcoşkun, Tahir Yagdi, Burcu Yağmur, Umit Kahraman |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine medicine.medical_specialty medicine.medical_treatment Aorta Thoracic Anastomosis Prosthesis Implantation AMP Exception medicine.artery Ascending aorta medicine Cannula Humans Thoracotomy Pulmonary wedge pressure Retrospective Studies Heart Failure business.industry Circulatory Support Anastomosis Surgical Central venous pressure Lateral Thoracotomy equipment and supplies Implantation Surgery Ventricular assist device Descending aorta Heart-Assist Devices Cardiology and Cardiovascular Medicine business |
| Popis: | 41st Annual Meeting and Scientific Sessions of the International-Society-for-Heart-and-Lung-Transplantation (ISHLT) -- APR 24-28, 2021 -- ELECTR NETWORK BACKGROUND Left ventricular assist device (LVAD) implantation via thoracotomy with outflow cannula anastomosis to the descending aorta is an alternative implantation technique that uses a single incision and avoids anterior mediastinal planes. We evaluated long-term survival and hospital readmissions after LVAD implantation via thoracotomy with outflow cannula anastomosis to the descending aorta. METHODS Adult patients implanted with a continuous flow centrifugal LVAD at an academic center were retrospec-tively analyzed. Patients were assigned to 1 of 2 cohorts based on the anastomosis site of the LVAD outflow cannula: ascending aorta cohort (Asc-Ao) and descending aorta cohort (Desc-Ao). Primary and secondary outcomes were sur-vival and hospital readmissions during device support. Readmission analysis included patients with double dagger 30-day survival after discharge. Multivariable analysis and propensity score matching were performed. RESULTS Survival analysis included 330 patients (Asc-Ao: 272, Desc-Ao: 58). Readmission analysis included 277 patients (Asc-Ao: 231, Desc-Ao: 46) and a total of 1028 readmissions during 654 patient-years of follow-up were analyzed. There was no significant difference in in-hospital, 6-month, 1-year, 3-year, and 5-year mortality between the two cohorts. Readmission-free survival, 30-day readmission, number of admissions per year and hospital length of stay per year were not significantly different between the 2 cohorts after adjustment for patient characteristics. CONCLUSIONS This study found no difference in long-term survival or hospital readmissions between LVAD implan-tation via thoracotomy with outflow cannula anastomosis to the descending aorta and standard implantation. (Ann Thorac Surg 2022;114:1377-85) (c) 2022 by The Society of Thoracic Surgeons Int Soc Heart & Lung Transplantat |
| Databáze: | OpenAIRE |
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