Naslov
Off-pump heartmate 3 left ventricular assist device implantation is safe and feasible for high risk patients
(Off-pump heartmate 3 left ventricular assist device implantation is safe and feasible for high risk patients)

Autori
Wood, K.L. ; Bjelić, Milica ; Paić, Frane ; Hack, M. ; Vidula, H. ; Alexis, J.D. ; Cheyne, C. ; Chase, K. ; Bernstein, W. ; Lindenmuth, D.M. ; Wyrobek, J.A. ; Gosev, I.

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Journal of heart and lung transplantation, 41 (2022), 4 / - , 2022, S390-s390

Skup
ISHLT2022: 42nd Annual Meeting & Scientific Sessions

Mjesto i datum
Boston (MA), Sjedinjene Američke Države, 27.04.2022. - 30.04.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
LVAD ; off-pump ; high risk patients

Sažetak
Purpose While the feasibility of off-pump HeartMate 3 left ventricular assist device (LVAD) placement has already been demonstrated, the safety of this approach has not been reported to date. Methods We retrospectively reviewed all patients who underwent Heartmate 3 LVAD implantation and identified 19 off- pump patients. These were propensity-matched with 19 on-pump cases using the following variables: age, body mass index, INTERMACS profile, and surgical approach. The study's primary objective was the safety of the off-pump technique compared to the standard on-pump approach. Results Preoperative characteristics were similar between the groups (Table 1). Most patients presented with the highest acuity INTERMACS Profile 1 (92.1%). A higher frequency of off-pump patients was supported with extracorporeal membrane oxygenation prior to LVAD implantation (31.6 vs. 89.5%, p=0.001). Intraoperatively, a higher proportion of patients in the off-pump group required packed red blood cells administration (47.4% vs. 84.2%, p=0.038). In the immediate postoperative hours, off-pump patients showed trends toward lower vasoactive-inotropic requirements. Postoperative outcomes, including all of the major complications and short-term survival (Figure 1), were comparable between the groups. Conclusion Results from our retrospective propensity- matched analysis suggest that off-pump LVAD implantation can be offered as a safe alternative for high-risk LVAD candidates.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA