
Initial endoscopic intervention is not associated with reduced risk of recurrent gastrointestinal bleeding in left ventricular assist device patients
Author(s) -
Benjamin Stern,
Parth Maheshwari,
Venkata Subhash Gorrepati,
Deborah Bethards,
Jayakrishna Chintanaboina,
John Boehmer,
Kofi Clarke
Publication year - 2021
Publication title -
annals of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 33
eISSN - 1792-7463
pISSN - 1108-7471
DOI - 10.20524/aog.2021.0656
Subject(s) - medicine , univariate analysis , logistic regression , gastrointestinal bleeding , heart failure , ventricular assist device , retrospective cohort study , multivariate analysis , etiology , surgery
Left ventricular assist devices (LVADs) are increasingly used for mechanical support of end-stage heart failure. Gastrointestinal bleeding (GIB) confers a significant morbidity in LVAD patients, with rates of up to 30% at 5 years. We assessed predictors of index and recurrent GIB (rGIB) in LVAD patients to risk stratify patients and evaluate if endoscopic approach and intervention at index GIB impacted rGIB.