Abstract
Objectives Increasing number of mechanical circulatory assist devices (MCADs) are being placed in heart failure patients. Morbidity from device placement is high and the outcome of patients who require noncardiac surgery after, is unclear. As laparoscopic interventions are associated with decreased morbidity, we examined the impact of such procedures in these patients. Methods A retrospective review was conducted on 302 patients who underwent MCAD placement from 2005 to 2012. All laparoscopic abdominal surgeries were included and impact on postoperative morbidity and mortality studied. Results Ten out of 16 procedures were laparoscopic with 1 conversion to open. Seven patients had a HeartMate II, 2 had Total Artificial Hearts, and 1 had CentriMag. Four patients had devices for ischemic cardiomyopathy and 6 cases were emergent. Surgeries included 6 laparoscopic cholecystectomies, 2 exploratory laparoscopies, 1 laparoscopic colostomy takedown, and 1 laparoscopic ventral hernia repair with mesh. Median age of the patients was 63 years (range, 29-79 years). Median operative time was 123 minutes (range, 30-380 minutes). Five of 10 patients were on preoperative anticoagulation with average intraoperative blood loss of 150 mL (range, ...Continue Reading
References
Aug 1, 1995·Annals of Surgery·D J GoldsteinE A Rose
Jun 1, 1994·American Journal of Surgery·G G TsiotosJ A van Heerden
Feb 1, 1996·The Annals of Thoracic Surgery·T W PrendergastM L Barr
Aug 19, 2000·Surgical Endoscopy·J J KellyD E Litwin
May 23, 2002·Surgery·Daniel J GagnéDennis L Fowler
Jun 29, 2002·Anesthesia and Analgesia·Marc E StoneDavid L Reich
Mar 18, 2008·British Journal of Anaesthesia·V KarthaK Tremper
Feb 24, 2009·The American Journal of Cardiology·Josef StehlikJames W Long
Jun 16, 2009·Journal of Cardiovascular Medicine·Ugolino LiviLuigi P Badano
Oct 1, 2009·Surgery·Joshua B BrownMark L Gestring
Nov 19, 2009·The New England Journal of Medicine·Mark S SlaughterUNKNOWN HeartMate II Investigators
Jul 20, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Gordan SamoukovicRenzo Cecere
May 24, 2012·Circulation·Keith D AaronsonUNKNOWN HeartWare Ventricular Assist Device (HVAD) Bridge to Transplant ADVANCE Trial Investigators
Jul 5, 2012·Surgery Today·Takeshi NaitohYoshikatsu Saiki
Sep 15, 2012·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Josef StehlikUNKNOWN International Society of Heart and Lung Transplantation
Oct 2, 2012·The Canadian Journal of Cardiology·Christopher W WhiteDarren H Freed
Dec 26, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Dustin L EckJohn A Stauffer
Jan 11, 2014·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Jasmir G NayakThomas McGregor
Jan 7, 2015·World Journal of Gastroenterology : WJG·Sinan HatipogluRuslan Abdullayev
Feb 1, 2015·International Journal of Surgery·Awais AshfaqFrancisco A Arabia
Citations
Jan 21, 2015·Preventive Medicine·Paul D LoprinziTakashi Abe
Sep 9, 2017·Annals of Surgery·Krystle M LeungNelya Melnitchouk
Oct 28, 2019·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Oliver BeetzKai Timrott
Dec 13, 2019·Surgical Case Reports·Akihiko TakagiNoriyuki Oba
Aug 3, 2020·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Oliver BeetzKai Timrott