In-Hospital Outcomes of Left Ventricular Assist Device Implantation and Concomitant Valvular Surgery

Valvular heart disease is common among Left Ventricular Assist Device (LVAD) recipients. However, its management at the time of LVAD implantation remains controversial. Patients who underwent LVAD implantation and concomitant aortic (AVR), mitral (MVR) or tricuspid valve (TVR) repair or replacement between 2010 and 2017 were identified using the national inpatient sample. Endpoints were in-hospital outcomes, length of stay and cost. Procedure-related complications were identified via ICD-9 and ICD-10 coding and analysis was performed via mixed effect models.  A total of 25,171 weighted adults underwent LVAD implantation without valvular surgery, 1,329 had isolated TVR, 1,021 AVR, 377 MVR and 615 had combined valvular surgery (411 had TVR+AVR, 115 TVR+MVR, 62 AVR+MVR, 25 AVR+MVR+TVR).
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research