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Pregled bibliografske jedinice broj: 1257162

Study results suggest less invasive HeartMate 3 implantation is a safe and effective approach for obese patients

Bjelić, Milica; Ayers, Brian; Paić, Frane; Bernstein, Wendy; Barrus, Bryan; Chase, Karin; Gu, Yang; Alexis, Jeffrey D.; Vidula, Himabindu; Cheyne, Christina et al.
Study results suggest less invasive HeartMate 3 implantation is a safe and effective approach for obese patients // Journal of heart and lung transplantation, 40 (2021), 9; 990-997 doi:10.1016/j.healun.2021.06.001 (međunarodna recenzija, članak, znanstveni)

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Naslov
Study results suggest less invasive HeartMate 3 implantation is a safe and effective approach for obese patients

Autori
Bjelić, Milica ; Ayers, Brian ; Paić, Frane ; Bernstein, Wendy ; Barrus, Bryan ; Chase, Karin ; Gu, Yang ; Alexis, Jeffrey D. ; Vidula, Himabindu ; Cheyne, Christina ; Prasad, Sunil ; Gošev, Igor

Izvornik
Journal of heart and lung transplantation (1053-2498) 40 (2021), 9; 990-997

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
BMI ; HM3 ; LIS ; LVAD ; MCSD ; less invasive ; mechanical circulatory support ; minimal invasive ; obesity

Sažetak
Background: Historically, obesity was considered a relative contraindication to left ventricular assist device (LVAD) implantation with less invasive surgery (LIS). The present study aimed to compare the outcomes of obese patients who underwent LVAD implantation through LIS with those who received full sternotomy (FS) implantation. Methods: We retrospectively reviewed all patients implanted with HeartMate 3 LVAD in our institution between September 2015 and June 2020. Obese patients (BMI ≥ 30 kg/m2) were included and dichotomized based on surgical approach into the FS or LIS cohort. Results: Of 231 implanted patients, 107 (46%) were obese and included in the study. FS was performed in 26 (24%) patients and LIS approach in 81 (76%) patients. Preoperative patient characteristics were similar between the cohorts. Postoperatively, patients in LIS cohort had less bleeding (p = 0.029), fewer transfusions (p = 0.042), shorter duration of inotropic support (p = 0.049), and decreased incidence of severe RV failure (11.1% vs 30.8%, p = 0.028). Survival to discharge for the obese population was 87.5% overall and did not differ based on an approach (91.4% LIS vs 76.9% FS, p = 0.079). More LIS patients were discharged home (60.0% vs 82.4%, p = 0.041) rather than to rehabilitation center. Conclusion: Our results showed that the LIS approach in obese patients is associated with fewer postoperative complications and a trend towards better short-term survival. These results suggest that less invasive LVAD implantation is a safe and effective approach for obese patients. Future prospective randomized trials are required to substantiate these results.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti



POVEZANOST RADA

Ustanove:
Medicinski fakultet, Zagreb

Profili:

Avatar Url Frane Paić (autor)

Poveznice na cjeloviti tekst rada:

doi

Citiraj ovu publikaciju:

Bjelić, Milica; Ayers, Brian; Paić, Frane; Bernstein, Wendy; Barrus, Bryan; Chase, Karin; Gu, Yang; Alexis, Jeffrey D.; Vidula, Himabindu; Cheyne, Christina et al.
Study results suggest less invasive HeartMate 3 implantation is a safe and effective approach for obese patients // Journal of heart and lung transplantation, 40 (2021), 9; 990-997 doi:10.1016/j.healun.2021.06.001 (međunarodna recenzija, članak, znanstveni)
Bjelić, M., Ayers, B., Paić, F., Bernstein, W., Barrus, B., Chase, K., Gu, Y., Alexis, J., Vidula, H. & Cheyne, C. (2021) Study results suggest less invasive HeartMate 3 implantation is a safe and effective approach for obese patients. Journal of heart and lung transplantation, 40 (9), 990-997 doi:10.1016/j.healun.2021.06.001.
@article{article, author = {Bjeli\'{c}, Milica and Ayers, Brian and Pai\'{c}, Frane and Bernstein, Wendy and Barrus, Bryan and Chase, Karin and Gu, Yang and Alexis, Jeffrey D. and Vidula, Himabindu and Cheyne, Christina and Prasad, Sunil and Go\v{s}ev, Igor}, year = {2021}, pages = {990-997}, DOI = {10.1016/j.healun.2021.06.001}, keywords = {BMI, HM3, LIS, LVAD, MCSD, less invasive, mechanical circulatory support, minimal invasive, obesity}, journal = {Journal of heart and lung transplantation}, doi = {10.1016/j.healun.2021.06.001}, volume = {40}, number = {9}, issn = {1053-2498}, title = {Study results suggest less invasive HeartMate 3 implantation is a safe and effective approach for obese patients}, keyword = {BMI, HM3, LIS, LVAD, MCSD, less invasive, mechanical circulatory support, minimal invasive, obesity} }
@article{article, author = {Bjeli\'{c}, Milica and Ayers, Brian and Pai\'{c}, Frane and Bernstein, Wendy and Barrus, Bryan and Chase, Karin and Gu, Yang and Alexis, Jeffrey D. and Vidula, Himabindu and Cheyne, Christina and Prasad, Sunil and Go\v{s}ev, Igor}, year = {2021}, pages = {990-997}, DOI = {10.1016/j.healun.2021.06.001}, keywords = {BMI, HM3, LIS, LVAD, MCSD, less invasive, mechanical circulatory support, minimal invasive, obesity}, journal = {Journal of heart and lung transplantation}, doi = {10.1016/j.healun.2021.06.001}, volume = {40}, number = {9}, issn = {1053-2498}, title = {Study results suggest less invasive HeartMate 3 implantation is a safe and effective approach for obese patients}, keyword = {BMI, HM3, LIS, LVAD, MCSD, less invasive, mechanical circulatory support, minimal invasive, obesity} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE

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