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Related Experiment Video

Updated: Jan 25, 2026

In Vitro Thrombosis Test for Ventricular Assist Devices

In Vitro Thrombosis Test for Ventricular Assist Devices

Published on: March 21, 2025

Ophthalmic Surgery in Patients with Left Ventricular Assist Devices.

George A Dumas¹, Ayesha S Bryant¹, Gwendolyn L Boyd¹

¹University of Alabama at Birmingham, Department of Anesthesiology and Perioperative Medicine, Birmingham, Alabama, USA.

Case Reports in Ophthalmological Medicine

|April 25, 2019

Summary

Patients with left ventricular assist devices (LVADs) can safely undergo ophthalmic surgery. A standardized protocol ensured successful outcomes and timely discharge for all patients, highlighting the safety of these procedures.

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Area of Science:

Cardiology
Ophthalmology
Medical Devices

Background:

Left ventricular assist devices (LVADs) are increasingly used for destination therapy, leading to longer patient survival.
Patients with LVADs are presenting with more noncardiac conditions requiring medical interventions.
There is limited data on the safety and outcomes of ophthalmic procedures in LVAD patients.

Observation:

A case series of 7 patients with LVADs undergoing 10 ophthalmic surgeries was reviewed.
The majority of procedures involved phacoemulsification with intraocular lens implantation.
Anesthesia was primarily topical with intracameral agents.

Findings:

No intraoperative adverse events, such as hemodynamic instability or respiratory compromise, were observed.
All 7 patients were discharged on time, with no 30-day readmissions.
Successful outcomes were achieved in all ophthalmic surgeries performed.

Implications:

A standardized clinical workflow is crucial for the safe management of LVAD patients undergoing ophthalmic surgery.
Key elements include thorough preoperative screening, VAD coordinator involvement, and continued antithrombotic therapy.
Careful monitoring for pulsatile flow and a rapid transfer plan are essential for managing potential complications.