Role of imaging in diagnosis and management of left ventricular assist device complications

Li, Xin; Kondray, Victor; Tavri, Sidhartha; Ruhparwar, Arjang; Azeze, S.; Dey, Aritra; Partovi, Sasan; Rengier, Fabian

doi:10.1007/s10554-019-01562-4

Cited by 19 publications

(11 citation statements)

References 85 publications

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“…The number of LVAD implantations has been increasing 10 . In contrast, the number of heart transplantations has not increased much, and the management of patients with LVAD in the long term has become an issue 2 . The complications of patients with LVAD could be fatal.…”

Section: Discussionmentioning

confidence: 99%

“…In Japan, LVAD implantation was approved in 2011; LVAD is only available for patients waiting for cardiac transplantation. The complications of LVAD include device problems, driveline infections, cerebrovascular disease, hemorrhage, arrhythmia, and right heart failure 2,3 . The development of thrombosis in the device and cerebrovascular disease can lead to fatal complications; thus, proper anticoagulant therapy is necessary, but bleeding control is a problem during emergency surgery.…”

Section: Introductionmentioning

confidence: 99%

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A case of single‐incision laparoscopic surgery for acute appendicitis with left ventricular assist device

Chinen

Ogino

Fujino

et al. 2021

Asian J Endoscop Surgery

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A left ventricular assist device (LVAD) is used for patients with severe heart failure. We present a case of a 35‐year‐old man who had undergone LVAD implantation 2 years ago for dilated phase of hypertrophic cardiomyopathy. He had right lower abdominal pain and was diagnosed with acute appendicitis. Single‐incision laparoscopic surgery for appendicitis was performed. We incised approximately 3 cm of the umbilicus carefully because the driveline of LVAD was passing just caudal to the umbilicus. LVAD is only available for patients waiting for cardiac transplantation in Japan, and the number of patients with LVAD has been increasing. Adequate anticoagulant therapy is necessary because device thrombosis often causes fatal complications, but during emergency cases, the surgeons have to be cautious of bleeding and injury to the driveline of LVAD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A case of single‐incision laparoscopic surgery for acute appendicitis with left ventricular assist device

Chinen

Ogino

Fujino

et al. 2021

Asian J Endoscop Surgery

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show abstract

“…However, this comes with an increased complication rate. Infections, device thrombosis, bleeding, right heart failure and aortic valve failure are common problems that limit the prognosis of these patients [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Role of assist device implantation and heart transplantation in the long-term outcome of patients with structural heart disease after catheter ablation of ventricular tachycardia

Darma

Bertagnolli

Dinov

et al. 2021

Herzschr Elektrophys

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Introduction Ablation of ventricular tachycardias (VTs) in patients with structural heart disease (SHD) has been associated with advanced heart failure and poor survival. Methods and results This matched case-control study sought to assess the difference in survival after left ventricular assist device (LVAD) implantation and/or heart transplantation (HTX) in SHD patients undergoing VT ablation. From the initial cohort of 309 SHD patients undergoing VT ablation (187 ischemic cardiomyopathy, mean age 64 ± 12 years, ejection fraction of 34 ± 13%), 15 patients received an LVAD and nine patients HTX after VT ablation during a follow-up period of 44 ± 33 months. Long-term survival after LVAD did not differ from the matched control group (p = 0.761), although the cause of lethal events was different. All post-HTX patients survived during follow-up. Conclusion In this matched case-control study on patients with SHD undergoing VT ablation, patients that received LVAD implantation had similar survival compared to the control group after 4‑year follow-up, while the patients with HTX had a significantly better outcome.

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“…In a systematic evaluation of imaging modalities for the evaluation of left ventricular assist devices (LVAD) the cardiac CT was found to be useful in the detection of bleeding complications and thrombus formation while the FDG-PET was the optimal modality for detection and extend of inflammation. Echocardiography had its strength in the evaluation of failure of the right ventricle after LVAD implantation [114].…”

Section: Tumor Thrombus and Infectionmentioning

confidence: 99%

Cardiovascular imaging 2019 in the International Journal of Cardiovascular Imaging

Reiber

Pereira

Dallan

et al. 2020

Int J Cardiovasc Imaging

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Role of imaging in diagnosis and management of left ventricular assist device complications

Cited by 19 publications

References 85 publications

A case of single‐incision laparoscopic surgery for acute appendicitis with left ventricular assist device

A case of single‐incision laparoscopic surgery for acute appendicitis with left ventricular assist device

Role of assist device implantation and heart transplantation in the long-term outcome of patients with structural heart disease after catheter ablation of ventricular tachycardia

Cardiovascular imaging 2019 in the International Journal of Cardiovascular Imaging

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