Trends, Perioperative Adverse Events, and Survival of Patients With Left Ventricular Assist Devices Undergoing Noncardiac Surgery | Zendy

Amgad Mentias | Zendy; Αlexandros Briasoulis | Zendy; Mary VaughanSarrazin | Zendy; Paulino Álvarez | Zendy

Open Access

Trends, Perioperative Adverse Events, and Survival of Patients With Left Ventricular Assist Devices Undergoing Noncardiac Surgery

Author(s) -

Amgad Mentias,

Αlexandros Briasoulis,

Mary VaughanSarrazin,

Paulino Álvarez

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.25118

Subject(s) - medicine , perioperative , single center , cohort , ventricular assist device , stroke (engine) , emergency medicine , retrospective cohort study , adverse effect , surgery , heart failure , mechanical engineering , engineering

Key Points Question What are the trends, perioperative adverse events, and mortality associated with noncardiac surgery in patients with left ventricular assist devices (LVADs)? Findings In this cohort study, of 8118 Medicare patients who had an LVAD, 16.3% underwent noncardiac surgery during follow-up. Major adverse cardiovascular events, defined as in-hospital or 30-day all-cause mortality, ischemic stroke, or intracerebral bleeding, occurred in 16.9% of patients who underwent emergent or urgent procedures and in 7.1% of patients who underwent elective procedures. Meaning A substantial proportion of patients with LVADs underwent noncardiac surgery and experienced major perioperative adverse events.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research