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Outcome of right ventricular assist device implantation following left ventricular assist device implantation: Systematic review and meta-analysis

Reid, Gregory and Mork, Constantin and Gahl, Brigita and Appenzeller-Herzog, Christian and von Segesser, Ludwig K. and Eckstein, Friedrich and Berdajs, Denis A.. (2022) Outcome of right ventricular assist device implantation following left ventricular assist device implantation: Systematic review and meta-analysis. Perfusion, 37 (8). pp. 773-784.

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Abstract

The main aim was a systematic evaluation of the current evidence on outcomes for patients undergoing right ventricular assist device (RVAD) implantation following left ventricular assist device (LVAD) implantation.; This systematic review was registered on PROSPERO (CRD42019130131). Reports evaluating in-hospital as well as follow-up outcome in LVAD and LVAD/RVAD implantation were identified through Ovid Medline, Web of Science and EMBASE. The primary endpoint was mortality at the hospital stay and at follow-up. Pooled incidence of defined endpoints was calculated by using random effects models.; A total of 35 retrospective studies that included 3260 patients were analyzed. 30 days mortality was in favour of isolated LVAD implantation 6.74% (1.98-11.5%) versus 31.9% (19.78-44.02%) p = 0.001 in LVAD with temporary need for RVAD. During the hospital stay the incidence of major bleeding was 18.7% (18.2-19.4%) versus 40.0% (36.3-48.8%) and stroke rate was 5.6% (5.4-5.8%) versus 20.9% (16.8-28.3%) and was in favour of isolated LVAD implantation. Mortality reported at short-term as well at long-term was 19.66% (CI 15.73-23.59%) and 33.90% (CI 8.84-59.96%) in LVAD respectively versus 45.35% (CI 35.31-55.4%) p ⩽ 0.001 and 48.23% (CI 16.01-80.45%) p = 0.686 in LVAD/RVAD group respectively.; Implantation of a temporary RVAD is allied with a worse outcome during the primary hospitalization and at follow-up. Compared to isolated LVAD support, biventricular mechanical circulatory support leads to an elevated mortality and higher incidence of adverse events such as bleeding and stroke.
Faculties and Departments:10 Zentrale universitäre Einrichtungen > Universitätsbibliothek
UniBasel Contributors:Appenzeller-Herzog, Christian and Reid, Gregory and Mork, Constantin and Eckstein, Friedrich Stefan and Berdajs, Denis
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:SAGE Publications
ISSN:0267-6591
e-ISSN:1477-111X
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
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Last Modified:16 Nov 2022 08:26
Deposited On:16 Nov 2022 08:26

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