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Implantation of Left Ventricular Assist Device (LVAD) in Juvenile Landrace Swine: A LVAD Implantation Model of Pediatric Heart Failure

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Management of LVAD Patients for Noncardiac Surgery: A Single-Institution Study

Eric W Nelson¹, Timothy Heinke¹, Alan Finley¹

¹Medical University of South Carolina, Charleston, SC.

Journal of Cardiothoracic and Vascular Anesthesia

|May 21, 2015

Abstract

Objective:

To describe the experience regarding the perioperative management of patients with left ventricular assist devices (LVADs) who require anesthesia while undergoing noncardiac surgery (NCS) at a single medical center.

Design:

Retrospective chart review

Setting:

Academic medical center

Participants:

Patients with LVADs

Interventions:

Medical records from April 1, 2009 through January 31, 2014 were reviewed for patients who underwent Heartmate II LVAD placement at this facility. Individual records were reviewed for NCS after LVAD placement, specifically investigating perioperative and anesthetic management.

Measurements And Main Results:

Seventy-one patients underwent LVAD placement during this time period. Thirty-five patients (49%) underwent a total of 101 NCS procedures. Arterial catheters were placed in 19 patients (19%), and 33 patients (33%) were intubated for their procedure. No complications or perioperative mortality occurred related to the NCS.

Conclusions:

Noncardiac surgery is becoming more common in patients with LVADs. Anesthetic management of these patients outside of the cardiac operating room is limited. Patients with Heartmate II LVADs can safely undergo noncardiac surgery.

Keywords:

heart failure left ventricular assist device noncardiac surgery

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