Abstract
As the numbers of patients implanted with an LVAD continues to grow, the number of supported patients that require interventional and diagnostic non-cardiac surgical procedures (NCS) is also increasing. This chapter discusses the pre-, intra-, and postoperative considerations for LVAD-supported patients presenting for non-cardiac surgery.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ambrosy AP, Fonarow GC, Butler J, et al. The global health and economic burden of hospitalizations for heart failure: lessons learned from hospitalized heart failure registries. J Am Coll Cardiol. 2014;63(12):1123–33. https://doi.org/10.1016/j.jacc.2013.11.053.
Slaughter MS, Rogers JG, Milano CA, et al. Advanced heart failure treated with continuous-flow left ventricular assist device. N Engl J Med. 2009;361(23):2241–51. https://doi.org/10.1056/NEJMoa0909938.
Kirklin JK, Naftel DC, Pagani FD, et al. Seventh INTERMACS annual report: 15,000 patients and counting. J Hear Lung Transplant. 2015;34(12):1495–504. https://doi.org/10.1016/j.healun.2015.10.003.
Goudra BG, Singh PM. Anesthesia for gastrointestinal endoscopy in patients with left ventricular assist devices: initial experience with 68 procedures. Ann Card Anaesth. 2013;16(4):250–6. https://doi.org/10.4103/0971-9784.119167.
Barbara DW, Wetzel DR, Pulido JN, et al. The perioperative management of patients with left ventricular assist devices undergoing noncardiac surgery. In: Mayo Clinic Proceedings.Vol 88.; 2013:674–682. doi:https://doi.org/10.1016/j.mayocp.2013.03.019.
Stone M, Hinchey J, Sattler C, Evans A. Trends in the Management of Patients with Left Ventricular Assist Devices Presenting for noncardiac surgery: a 10-year institutional experience. Semin Cardiothorac Vasc Anesth. 2016;20(3):197–204. https://doi.org/10.1177/1089253215619759.
Guglin M, Miller L. Myocardial recovery with left ventricular assist devices. Curr Treat Options Cardiovasc Med. 2012;14(4):370–83. https://doi.org/10.1007/s11936-012-0190-9.
Wohlschlaeger J, Schmitz KJ, Schmid C, et al. Reverse remodeling following insertion of left ventricular assist devices (LVAD): a review of the morphological and molecular changes. Cardiovasc Res. 2005;68(3):376–86. https://doi.org/10.1016/j.cardiores.2005.06.030.
Heatley G, Sood P, Goldstein D, et al. Clinical trial design and rationale of MOMENTUM 3: multi-center study of MagLev Technology in Patients Undergoing MCS therapy with HeartMate 3â„¢ IDE clinical study protocol. J Hear Lung Transplant. 2016; https://doi.org/10.1016/j.healun.2016.01.021.
Roberts SM, Hovord DG, Kodavatiganti R, Sathishkumar S. Ventricular assist devices and non-cardiac surgery. BMC Anesthesiol. 2015;15(1):185. https://doi.org/10.1186/s12871-015-0157-y.
Garatti A, Bruschi G, Colombo T, et al. Noncardiac surgical procedures in patient supported with long-term implantable left ventricular assist device. Am J Surg. 2009;197(6):710–4. https://doi.org/10.1016/j.amjsurg.2008.05.009.
Cingolani HE, Perez NG, Cingolani OH, Ennis IL. The Anrep effect: 100 years later. AJP Hear Circ Physiol. 2013;304(2):H175–82. https://doi.org/10.1152/ajpheart.00508.2012.
Peberdy MA, Gluck JA, Ornato JP, et al. Cardiopulmonary resuscitation in adults and children with mechanical circulatory support. A scientific statement from the American Heart Association. Circulation. 2017;135:e1115–34.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Stone, M.E., Sparkle, T. (2021). The LVAD-Supported Patient Presenting for Non-Cardiac Surgery. In: Cheng, D.C., Martin, J., David, T. (eds) Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-47887-2_15
Download citation
DOI: https://doi.org/10.1007/978-3-030-47887-2_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-47886-5
Online ISBN: 978-3-030-47887-2
eBook Packages: MedicineMedicine (R0)