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Updated: Feb 28, 2026

Implantation of Left Ventricular Assist Device (LVAD) in Juvenile Landrace Swine: A LVAD Implantation Model of Pediatric Heart Failure
05:18

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

Published on: January 16, 2026

97

The Spectrum of General Surgery Interventions in Pediatric Patients with Ventricular Assist Devices

Fady Kamel, Holger Buchholz, Bryan Dicken

    ASAIO Journal (American Society for Artificial Internal Organs : 1992)
    |June 16, 2017
    PubMed

    Insights

    General surgery interventions are safe for pediatric patients with ventricular assist devices (VADs) during the same hospital admission. Appropriate multidisciplinary care ensures successful outcomes for these complex patients.

    Area of Science:

    • Pediatric Cardiology
    • Cardiovascular Surgery
    • Pediatric Critical Care

    Background:

    • Ventricular assist devices (VADs) are vital in managing pediatric heart failure.
    • Complications associated with VADs require careful management, including general surgical interventions.
    • Limited data exists on general surgery interventions in pediatric VAD patients.

    Purpose of the Study:

    • To assess the incidence and outcomes of general surgery interventions in pediatric patients with VADs.
    • To evaluate the impact of anticoagulation management on these interventions.
    • To determine the safety of concurrent VAD implantation and general surgery.

    Main Methods:

    • Retrospective review of 52 pediatric patients who received VADs between 2005 and 2015.
    • Analysis of general surgery interventions, including emergency and non-emergency procedures.
    • Assessment of anticoagulation status and antiplatelet therapy perioperatively.

    Main Results:

    • 35% of pediatric VAD patients underwent general surgery intervention (21 non-emergency, 6 emergency).
    • For non-emergency procedures, anticoagulation was appropriately managed (held 24h pre-op, resumed 4h post-op) in most cases.
    • Anticoagulation status did not affect procedural success in either emergency or non-emergency settings.

    Conclusions:

    • General surgery interventions can be safely performed during the same admission as VAD implantation in pediatric patients.
    • Successful perioperative management relies on an interdisciplinary healthcare team approach.
    • This approach supports improved outcomes for pediatric heart failure patients requiring VADs and surgical procedures.

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