Noncardiac surgical procedures in patient supported with long-term implantable left ventricular assist device

Andrea Garatti, Giuseppe Bruschi, Tiziano Colombo, Claudio Russo, Filippo Milazzo, Emanuele Catena, Marco Lanfranconi, Ettore Vitali

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Background: Left ventricular assist devices (LVADs) are increasingly used as bridges to transplantation or as destination therapy. As sicker and older patients are more frequently considered for mechanical support, general surgical problems are expected to increase in these patients. Methods: Anesthesia records and clinical charts were reviewed for 11 recipients of LVADs undergoing 12 general surgical procedures between January 1988 and March 2007. Results: Eight patients underwent major surgical procedures: 1 intracranial hematoma drainage, 1 right hemicolectomy with ileocolostomy, 1 splenectomy, 1 surgical repair of an iliac-femoral artery pseudoaneurysm, 2 cholecystectomies, 1 pyelolithotomy, and 1 coil embolization of a femoral side-branch disruption. Four patients underwent minor surgical procedures. The mean duration of LVAD support before surgery was 58.7 ± 45.6 days. All patients survived the procedures. Conclusion: Noncardiac surgery in LVAD recipients is feasible, without significant morbidity or mortality. Intraoperative coagulation management has a key role in safely performing these procedures.

Original languageEnglish
Pages (from-to)710-714
Number of pages5
JournalAmerican Journal of Surgery
Volume197
Issue number6
DOIs
Publication statusPublished - Jun 2009

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Heart-Assist Devices
Minor Surgical Procedures
Iliac Artery
False Aneurysm
Cholecystectomy
Splenectomy
Femoral Artery
Thigh
Hematoma
Drainage
Anesthesia
Transplantation
Morbidity
Mortality

Keywords

  • Abdominal surgery
  • Heart transplant
  • Left ventricular assist devices

ASJC Scopus subject areas

  • Surgery

Cite this

Noncardiac surgical procedures in patient supported with long-term implantable left ventricular assist device. / Garatti, Andrea; Bruschi, Giuseppe; Colombo, Tiziano; Russo, Claudio; Milazzo, Filippo; Catena, Emanuele; Lanfranconi, Marco; Vitali, Ettore.

In: American Journal of Surgery, Vol. 197, No. 6, 06.2009, p. 710-714.

Research output: Contribution to journalArticle

Garatti, A, Bruschi, G, Colombo, T, Russo, C, Milazzo, F, Catena, E, Lanfranconi, M & Vitali, E 2009, 'Noncardiac surgical procedures in patient supported with long-term implantable left ventricular assist device', American Journal of Surgery, vol. 197, no. 6, pp. 710-714. https://doi.org/10.1016/j.amjsurg.2008.05.009
Garatti, Andrea ; Bruschi, Giuseppe ; Colombo, Tiziano ; Russo, Claudio ; Milazzo, Filippo ; Catena, Emanuele ; Lanfranconi, Marco ; Vitali, Ettore. / Noncardiac surgical procedures in patient supported with long-term implantable left ventricular assist device. In: American Journal of Surgery. 2009 ; Vol. 197, No. 6. pp. 710-714.
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