Right heart dysfunction after left ventricular assist device implantation: a comparison of the pulsatile HeartMate I and axial-flow HeartMate II devices

The Annals of Thoracic Surgery
Nishant D PatelJohn V Conte

Abstract

Right heart dysfunction confers significant morbidity and mortality after left ventricular assist device implantation and historically occurs in as many as a third of patients. It is unknown whether newer axial flow pumps have a different impact on postimplant right heart dysfunction. We compared the incidence of right heart dysfunction after implantation of the pulsatile HeartMate I (XVE) and the continuous flow HeartMate II left ventricular assist device. We retrospectively reviewed patients who underwent HeartMate I or HeartMate II implantation between June 2000 and March 2007. Right heart dysfunction was defined as inotropic/vasodilator support for 14 or more consecutive days or the need for a right ventricular assist device, or both. Seventy-seven patients underwent HeartMate implantation; 43 received a HeartMate I and 34 received a HeartMate II, for a mean left ventricular assist device support time of 202 and 160 days, respectively. Operative mortality was lower for HeartMate II patients (28% versus 15%; p = 0.26). The HeartMate II patients had lower preoperative right ventricular stroke work index. Pulmonary vascular resistance index, right ventricular stroke work index, and pulmonary and right atrial pressures improved...Continue Reading

References

Jun 1, 1992·The Annals of Thoracic Surgery·O H FrazierK A Dasse
Jan 1, 1989·The Annals of Thoracic Surgery·P M PortnerP J Miller
Jul 1, 1993·The Annals of Thoracic Surgery·M R MoonD C Miller
Jul 1, 1995·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·E TatsumiY Wakisaka
Sep 1, 1996·The Annals of Thoracic Surgery·K A CataneseM C Oz
Jan 22, 1998·The Annals of Thoracic Surgery·A J MoskowitzD L Williams
Jul 1, 1998·The Annals of Thoracic Surgery·B KoulU J Lönn
Nov 20, 1998·The New England Journal of Medicine·D J GoldsteinE A Rose
Jun 4, 1999·The Annals of Thoracic Surgery·L R McBrideM T Swartz
Feb 10, 2000·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·C NojiirT Akutsu
Mar 1, 2000·The Journal of Thoracic and Cardiovascular Surgery·R KörferH Posival
Mar 16, 2001·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·O H. FrazierK A. Dasse
Mar 27, 2001·The Annals of Thoracic Surgery·B P GriffithK C Butler
Mar 27, 2001·The Annals of Thoracic Surgery·G P NoonB E Lynch
May 10, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S SaitoC Nojiri
Jan 17, 2002·The New England Journal of Medicine·E A RoseUNKNOWN Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (REMATCH) Study Group
Oct 29, 2002·The Annals of Thoracic Surgery·Satoshi SaitoChisato Nojiri
Nov 18, 2003·Artificial Organs·Yohji OkadaSeung-Jong Kim
Apr 6, 2004·The Annals of Thoracic Surgery·Kathleen L GradyWilliam Piccione
Nov 25, 2004·The Annals of Thoracic Surgery·Walter P DembitskyJames W Long
Jan 6, 2005·The Journal of Thoracic and Cardiovascular Surgery·Soon J ParkWalter Dembitsky
Nov 1, 2005·The Journal of Thoracic and Cardiovascular Surgery·Nicholas C DangYoshifumi Naka
Jan 10, 2006·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Nicholas C DangYoshifumi Naka
Sep 1, 2007·The New England Journal of Medicine·Leslie W MillerUNKNOWN HeartMate II Clinical Investigators

❮ Previous
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Citations

Oct 12, 2010·Current Heart Failure Reports·Satya S ShreenivasMariell Jessup
Jan 12, 2011·Current Heart Failure Reports·Michael L Craig
Aug 7, 2012·Current Heart Failure Reports·Marco GuazziLorenzo Menicanti
Sep 16, 2010·Current Treatment Options in Cardiovascular Medicine·Matthew A RomanoFrancis D Pagani
Aug 22, 2013·Current Treatment Options in Cardiovascular Medicine·Brittany PalmerMichael A Mathier
Sep 3, 2010·Journal of Cardiovascular Translational Research·Ranjit JohnKenneth Liao
Apr 26, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Claudia HeilmannBarbara Zieger
May 21, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jean-Philippe MazzucotelliUNKNOWN reflection group on mechanical circulatory support (GRAM)
Jul 9, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hiroo TakayamaMathew R Williams
Jun 1, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Stephen Westaby, O Howard Frazier
Dec 12, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Anna L MeyerMartin Strueber
Feb 8, 2014·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Mamoru ArakawaEisuke Tatsumi
Jan 22, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Kimberly A SliningerAbeel A Mangi
Jul 29, 2011·Heart Failure Reviews·Maya Guglin, Sameer Verma
Jan 7, 2016·Expert Review of Medical Devices·Gengo SunagawaKiyotaka Fukamachi
May 29, 2013·Anesthesiology Clinics·Michelle Capdeville, Nicholas G Smedira
Feb 14, 2013·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Jeffrey A MorganRobert J Brewer
Feb 29, 2016·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Stavros G Drakos, Mandeep R Mehra
Aug 14, 2012·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James C FangRaymond L Benza
Aug 23, 2012·Best Practice & Research. Clinical Anaesthesiology·Massimiliano MeineriAnnette Vegas
Aug 23, 2012·Best Practice & Research. Clinical Anaesthesiology·Gabriel Loor, Gonzalo Gonzalez-Stawinski
Jan 11, 2012·Ultrasound in Medicine & Biology·Farouk MookadamKrishnaswamy Chandrasekaran
Jul 28, 2015·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Guson KangDipanjan Banerjee
May 17, 2011·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Jose N NativiJosef Stehlik
Feb 16, 2011·The Journal of Thoracic and Cardiovascular Surgery·Mark S SlaughterSteven C Koenig
Feb 2, 2010·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Sangjin LeeRanjit John
Sep 9, 2015·Frontiers in Surgery·Joshua C GrimmAshish S Shah
Aug 13, 2015·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Brent C Lampert, Jeffrey J Teuteberg
Jul 19, 2015·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Gardner L YostAntone J Tatooles
Jan 17, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Teruhiko ImamuraMinoru Ono
Jul 10, 2010·Journal of cardiology·Taro SasaokaMasafumi Kitakaze
Dec 21, 2013·Journal of the American College of Cardiology·Jean-Luc VachiéryWerner Seeger
May 23, 2016·Interactive Cardiovascular and Thoracic Surgery·Marcin MalinowskiTomasz A Timek
Jun 1, 2016·Current Heart Failure Reports·Christopher W JensenY Joseph Woo
Nov 7, 2015·European Heart Journal·Erin M SchumerMark S Slaughter
Jan 21, 2017·Anesthesia and Analgesia·Jill YaungMichael Nurok
Dec 24, 2016·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Jacob R MillerUmar S Boston
May 4, 2013·Seminars in Cardiothoracic and Vascular Anesthesia·Lucas N Marzec, Amrut V Ambardekar

❮ Previous
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