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In-hospital stroke and mortality trends after left ventricular assist device implantation in the United States from 2017 to 2019
CONCLUSIONS: Our study found a significant downtrend in the in-hospital mortality rates among patients with LVAD without substantial changes in stroke rate trends over the study timeframe. As stroke rates remained steady, we hypothesize that improved management along with better control of blood pressure, could have played an important role in survival benefit over the study time frame.PMID:37387231 | DOI:10.1177/03913988231183723
Source: The International Journal of Artificial Organs - June 30, 2023 Category: Transplant Surgery Authors: Jose Lopez Justin Mark Waseem Wahood Nader Lamaa Mauricio Danckers Source Type: research

Successful Bridge From Va-Ecmo to Heart Transplant in an Adult after Mechanical Thrombectomy for Acute Ischemic Stroke
We present a unique case of a patient who underwent MT for acute ischemic stroke while on VA-ECMO with the resolution of neurological deficits and eventually underwent heart transplantation (HT).
Source: The Journal of Heart and Lung Transplantation - April 1, 2023 Category: Transplant Surgery Authors: S. Riaz, M. Hakim, T.V. Mehta, A. Jaiswal, A. Scatola Tags: (777) Source Type: research

Outflow cannula alignment in continuous flow left ventricular devices is associated with stroke
Int J Artif Organs. 2023 Mar 9:3913988231154284. doi: 10.1177/03913988231154284. Online ahead of print.ABSTRACTWe sought to evaluate whether differences in left ventricular assist device (LVAD) canula alignment are associated with stroke. There is a paucity of clinical data on contribution of LVAD canulae alignment to strokes. We conducted a retrospective analysis of patients who underwent LVAD implantation at Houston Methodist hospital from 2011 to 2016 and included those who had undergone cardiac computed tomography (CT) with contrast. LVAD graft alignment using X-ray, echocardiography, and cardiac CT was evaluated. The ...
Source: The International Journal of Artificial Organs - March 10, 2023 Category: Transplant Surgery Authors: Mahwash Kassi Tanushree Agrawal Jiaqiong Xu Hernan Gerardo Marcos-Abdala Raquel Araujo-Gutierrez Thomas Macgillivray Erik E Suarez Rayan Yousefzai Nadia Fida Ju H Kim Imad Hussain Ashrith Guha Barry Trachtenberg Arvind Bhimaraj Su Min Chang Jerry Estep Source Type: research

Three-year experience of catheter-based micro-axial left ventricular assist device, Impella, in Japanese patients: the first interim analysis of Japan registry for percutaneous ventricular assist device (J-PVAD)
AbstractCatheter-based micro-axial ventricular assist device Impella ® (Abiomed, Danvers, MA) has been used in Japanese patients with drug-refractory acute heart failure (AHF) since 2017. This is the first interim analysis of the ongoing Japan Registry for Percutaneous Ventricular Assist Device (J-PVAD) to investigate the safety and efficacy of Impella support. Betw een October 2017 and January 2020, 823 Japanese patients, who were treated with the Impella 2.5, CP, or 5.0 pump, were enrolled. The primary endpoints were safety profiles and cumulative 30-day survival. Among them, 44.8% of patients were acute myocardial infa...
Source: Journal of Artificial Organs - March 1, 2023 Category: Transplant Surgery Source Type: research

Stroke patterns and cannulation strategy during veno-arterial extracorporeal membrane support
AbstractStroke has potentially devastating consequences for patients receiving veno-arterial extracorporeal membrane support (VA-ECMO). Arterial cannulation sites for VA-ECMO include the ascending aorta, axillary artery, and femoral artery. However, the influence of cannulation site on stroke risk has not been well described. The purpose of this study was to investigate the association between occurrence and patterns of stroke with ECMO arterial cannulation sites. We retrospectively reviewed 414 consecutive patients who received VA-ECMO support for cardiogenic shock between March 2007 and May 2018. Patients were categorize...
Source: Journal of Artificial Organs - November 9, 2021 Category: Transplant Surgery Source Type: research

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