Outcomes of venopulmonary arterial extracorporeal life support as temporary right ventricular support after left ventricular assist implantation

The Journal of Thoracic and Cardiovascular Surgery
Sajad ShehabChristopher S Hayward

Abstract

We report our experience with temporary postoperative venopulmonary arterial extracorporeal life support as short-term right ventricular support in patients with biventricular failure undergoing HeartWare (HeartWare Inc, Framingham, Mass) left ventricular assist device implantation and compared these outcomes with isolated left ventricular assist device support and long-term biventricular assist device support. A total of 112 consecutive patients were studied, 75 with the isolated HeartWare left ventricular assist device, 23 with a concomitant left ventricular assist device and venopulmonary arterial extracorporeal life support, and 14 with durable biventricular assist device support. The decision concerning short-term or durable biventricular support was based on the clinical characteristics, echocardiography, and hemodynamic profile. Patients who required venopulmonary arterial extracorporeal life support after left ventricular assist device insertion required the greatest support preoperatively and were more likely to have Interagency Registry for Mechanical Assisted Circulatory Support level 1 (left ventricular assist device 19%, venopulmonary arterial extracorporeal life support 48%, biventricular assist device 57%, P < .0...Continue Reading

Citations

Mar 9, 2019·Cardiac Failure Review·Sajad Shehab, Christopher S Hayward
Dec 18, 2020·Critical Care Medicine·Jason T ChapmanHergen Buscher
Aug 3, 2021·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Roberto LorussoGlenn Whitman

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