%0 Journal Article
%T Survival analysis and postoperative complications after ventricular assist device implantation; prognostic value of INTERMACS scale
%A Ahmed R. Ahmed
%A Carstens Henning
%A Kamler Markus
%A Koch Achim
%A Ludike Peter
%A Pizanis Nikolaus
%A Rassaf Tienush
%J -
%D 2018
%R 10.35841/cardiovascular-surgery.1.1.15-23
%X Background: Ventricular assist devices (VADs) improve survival and quality of life in patients with refractory heart failure. This study retrospectively evaluates patients¡¯ profiles, clinical outcome in patients who underwent LVAD implantation in regard to their INTERMACS level.
Methods: In a single center analysis, data of 104 patients after LVAD implantation between August 2010 and March 2015 were analyzed retrospectively. According to INTERMACS level, 3 groups were compared: Group A (INTERMCAS level 1, n=27 patients), group B (INTERMACS level 2/3, n=47) and group C (INTERMACS level 4-6, n=30). Preoperative parameters and postoperative outcome were compared between groups.
Results: Mortality was higher in group A compared to group B (p=0.017) and group C (p=0.017). Sepsis was the most common post-operative complication after LVAD implantation.
Conclusion: INTERMACS level was related to outcome after LVAD implantation. Optimization of preoperative volume status, preload and sepsis management are recommended to lower mortality in these patients
%K Left Ventricular Assist Device (LVAD)
%K Heart Ware Ventricular Assist device (HVAD)
%K INTERMACS
%U https://www.alliedacademies.org/articles/survival-analysis-and-postoperative-complications-after-ventricular-assist-device-implantation-prognostic-value-of-intermacs-scale-10203.html