Should we touch tricuspid valve at the time of LVAD implantation? A young patient series
Background: The aim of the study is to compare the results of patients who had moderate or severe tricuspid insufficiency (TI) at the time of left ventricular assist device (LVAD) implantation that did not undergo intervention. Methods: Between October 2013 and December 2019, 144 patients who did no...
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| Veröffentlicht in: | International journal of artificial organs 2023-09, Vol.46 (8-9), p.514-519 |
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| container_title | International journal of artificial organs |
| container_volume | 46 |
| creator | Yavas, Soner Kervan, Umit Karahan, Mehmet Kocabeyoglu, Sinan Sabit Sert, Dogan Emre Ersoy, Ozgur Demirkan, Burcu Temizhan, Ahmet Ozatik, Mehmet Ali |
| description | Background:
The aim of the study is to compare the results of patients who had moderate or severe tricuspid insufficiency (TI) at the time of left ventricular assist device (LVAD) implantation that did not undergo intervention.
Methods:
Between October 2013 and December 2019, 144 patients who did not undergo tricuspid valve repair (TVR) during LVAD implantation in our department were included in the study. The patients were divided into two groups according to the TI grade; Group 1: 106 patients (73.6%) with moderate TI and Group 2: 38 patients (26.4%) with severe TI. All patients were evaluated for mortality, need of inotrope, blood product transfusion, intensive care unit (ICU) stay, duration of mechanical ventilation, and early and late right ventricular failure (RVF). Minimally invasive technique was favored in patients with worse right ventricular (RV) function to prevent the need for postoperative RV support and bleeding.
Results:
The mean ages of the patients in the Group 1 and Group 2 were 46 ± 15 years (82% male), and 45 ± 11.2 years (81.5% males), respectively. Post-operative duration of mechanical ventilation, ICU stay, blood loss, and reoperations were similar (p > 0.05). There was no significant difference in early RVF, pump thrombosis, stroke, bleeding, and 30-day mortality between groups (p > 0.05). Incidence of late RVF was higher in Group 2 (p |
| doi_str_mv | 10.1177/03913988231181604 |
| format | Article |
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The aim of the study is to compare the results of patients who had moderate or severe tricuspid insufficiency (TI) at the time of left ventricular assist device (LVAD) implantation that did not undergo intervention.
Methods:
Between October 2013 and December 2019, 144 patients who did not undergo tricuspid valve repair (TVR) during LVAD implantation in our department were included in the study. The patients were divided into two groups according to the TI grade; Group 1: 106 patients (73.6%) with moderate TI and Group 2: 38 patients (26.4%) with severe TI. All patients were evaluated for mortality, need of inotrope, blood product transfusion, intensive care unit (ICU) stay, duration of mechanical ventilation, and early and late right ventricular failure (RVF). Minimally invasive technique was favored in patients with worse right ventricular (RV) function to prevent the need for postoperative RV support and bleeding.
Results:
The mean ages of the patients in the Group 1 and Group 2 were 46 ± 15 years (82% male), and 45 ± 11.2 years (81.5% males), respectively. Post-operative duration of mechanical ventilation, ICU stay, blood loss, and reoperations were similar (p > 0.05). There was no significant difference in early RVF, pump thrombosis, stroke, bleeding, and 30-day mortality between groups (p > 0.05). Incidence of late RVF was higher in Group 2 (p < 0.05).
Conclusion:
Although the risk of late RVF may increase in patients with preoperative severe TI, not intervening in TI during LVAD implantation does not cause adverse clinical outcomes in the early period.</description><identifier>ISSN: 0391-3988</identifier><identifier>EISSN: 1724-6040</identifier><identifier>DOI: 10.1177/03913988231181604</identifier><identifier>PMID: 37334781</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Bleeding ; Blood ; Blood transfusion ; Heart ; Implantation ; Mechanical ventilation ; Mortality ; Right ventricular failure ; Thromboembolism ; Thrombosis ; Tricuspid valve ; Ventilation ; Ventilators ; Ventricle ; Ventricular assist devices</subject><ispartof>International journal of artificial organs, 2023-09, Vol.46 (8-9), p.514-519</ispartof><rights>The Author(s) 2023</rights><rights>Copyright Wichtig Editore s.r.l. Sep 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c320t-3315e11b2fbfcd9a18133b3b5b085020b9660643516835466df5e93eb1cf66743</cites><orcidid>0000-0002-7312-830X ; 0000-0003-1705-4999 ; 0000-0001-7198-069X ; 0000-0001-5492-4004</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/03913988231181604$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/03913988231181604$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37334781$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yavas, Soner</creatorcontrib><creatorcontrib>Kervan, Umit</creatorcontrib><creatorcontrib>Karahan, Mehmet</creatorcontrib><creatorcontrib>Kocabeyoglu, Sinan Sabit</creatorcontrib><creatorcontrib>Sert, Dogan Emre</creatorcontrib><creatorcontrib>Ersoy, Ozgur</creatorcontrib><creatorcontrib>Demirkan, Burcu</creatorcontrib><creatorcontrib>Temizhan, Ahmet</creatorcontrib><creatorcontrib>Ozatik, Mehmet Ali</creatorcontrib><title>Should we touch tricuspid valve at the time of LVAD implantation? A young patient series</title><title>International journal of artificial organs</title><addtitle>Int J Artif Organs</addtitle><description>Background:
The aim of the study is to compare the results of patients who had moderate or severe tricuspid insufficiency (TI) at the time of left ventricular assist device (LVAD) implantation that did not undergo intervention.
Methods:
Between October 2013 and December 2019, 144 patients who did not undergo tricuspid valve repair (TVR) during LVAD implantation in our department were included in the study. The patients were divided into two groups according to the TI grade; Group 1: 106 patients (73.6%) with moderate TI and Group 2: 38 patients (26.4%) with severe TI. All patients were evaluated for mortality, need of inotrope, blood product transfusion, intensive care unit (ICU) stay, duration of mechanical ventilation, and early and late right ventricular failure (RVF). Minimally invasive technique was favored in patients with worse right ventricular (RV) function to prevent the need for postoperative RV support and bleeding.
Results:
The mean ages of the patients in the Group 1 and Group 2 were 46 ± 15 years (82% male), and 45 ± 11.2 years (81.5% males), respectively. Post-operative duration of mechanical ventilation, ICU stay, blood loss, and reoperations were similar (p > 0.05). There was no significant difference in early RVF, pump thrombosis, stroke, bleeding, and 30-day mortality between groups (p > 0.05). Incidence of late RVF was higher in Group 2 (p < 0.05).
Conclusion:
Although the risk of late RVF may increase in patients with preoperative severe TI, not intervening in TI during LVAD implantation does not cause adverse clinical outcomes in the early period.</description><subject>Bleeding</subject><subject>Blood</subject><subject>Blood transfusion</subject><subject>Heart</subject><subject>Implantation</subject><subject>Mechanical ventilation</subject><subject>Mortality</subject><subject>Right ventricular failure</subject><subject>Thromboembolism</subject><subject>Thrombosis</subject><subject>Tricuspid valve</subject><subject>Ventilation</subject><subject>Ventilators</subject><subject>Ventricle</subject><subject>Ventricular assist devices</subject><issn>0391-3988</issn><issn>1724-6040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp1kE1PwzAMhiMEYmPwA7igSFy4dMR1mrYnNI1PaRIHPsSt6ke6dWqb0iRD-_dk2gAJxMm2_Pi1_RJyCmwMEIaXDGPAOIp8BIhAML5HhhD63HMp2yfDTd_bAANypPWSMRCcB4dkgCEiDyMYkrenhbJ1QT8kNcrmC2r6Kre6qwq6SuuVpKmhZuGaVSOpKunsdXJNq6ar09akplLtFZ3QtbLtnHaulq2hWvaV1MfkoExrLU92cURebm-ep_fe7PHuYTqZeTn6zHiIEEiAzC-zMi_i1P2BmGEWZCwKmM-yWAgmOAYgIgy4EEUZyBhlBnkpRMhxRC62ul2v3q3UJmkqncvaHSiV1Ykf-aEQyAVz6PkvdKls37rrHCViFoQbX0YEtlTeK617WSZdXzVpv06AJRvbkz-2u5mznbLNGll8T3z57IDxFtDpXP6s_V_xEwCHh4w</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Yavas, Soner</creator><creator>Kervan, Umit</creator><creator>Karahan, Mehmet</creator><creator>Kocabeyoglu, Sinan Sabit</creator><creator>Sert, Dogan Emre</creator><creator>Ersoy, Ozgur</creator><creator>Demirkan, Burcu</creator><creator>Temizhan, Ahmet</creator><creator>Ozatik, Mehmet Ali</creator><general>SAGE Publications</general><general>Wichtig Editore s.r.l</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QF</scope><scope>7QO</scope><scope>7QQ</scope><scope>7SC</scope><scope>7SE</scope><scope>7SP</scope><scope>7SR</scope><scope>7TA</scope><scope>7TB</scope><scope>7U5</scope><scope>8BQ</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>H8D</scope><scope>H8G</scope><scope>JG9</scope><scope>JQ2</scope><scope>KR7</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7312-830X</orcidid><orcidid>https://orcid.org/0000-0003-1705-4999</orcidid><orcidid>https://orcid.org/0000-0001-7198-069X</orcidid><orcidid>https://orcid.org/0000-0001-5492-4004</orcidid></search><sort><creationdate>20230901</creationdate><title>Should we touch tricuspid valve at the time of LVAD implantation? A young patient series</title><author>Yavas, Soner ; Kervan, Umit ; Karahan, Mehmet ; Kocabeyoglu, Sinan Sabit ; Sert, Dogan Emre ; Ersoy, Ozgur ; Demirkan, Burcu ; Temizhan, Ahmet ; Ozatik, Mehmet Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-3315e11b2fbfcd9a18133b3b5b085020b9660643516835466df5e93eb1cf66743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bleeding</topic><topic>Blood</topic><topic>Blood transfusion</topic><topic>Heart</topic><topic>Implantation</topic><topic>Mechanical ventilation</topic><topic>Mortality</topic><topic>Right ventricular failure</topic><topic>Thromboembolism</topic><topic>Thrombosis</topic><topic>Tricuspid valve</topic><topic>Ventilation</topic><topic>Ventilators</topic><topic>Ventricle</topic><topic>Ventricular assist devices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yavas, Soner</creatorcontrib><creatorcontrib>Kervan, Umit</creatorcontrib><creatorcontrib>Karahan, Mehmet</creatorcontrib><creatorcontrib>Kocabeyoglu, Sinan Sabit</creatorcontrib><creatorcontrib>Sert, Dogan Emre</creatorcontrib><creatorcontrib>Ersoy, Ozgur</creatorcontrib><creatorcontrib>Demirkan, Burcu</creatorcontrib><creatorcontrib>Temizhan, Ahmet</creatorcontrib><creatorcontrib>Ozatik, Mehmet Ali</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Aluminium Industry Abstracts</collection><collection>Biotechnology Research Abstracts</collection><collection>Ceramic Abstracts</collection><collection>Computer and Information Systems Abstracts</collection><collection>Corrosion Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Engineered Materials Abstracts</collection><collection>Materials Business File</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>METADEX</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>Aerospace Database</collection><collection>Copper Technical Reference Library</collection><collection>Materials Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>Civil Engineering Abstracts</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of artificial organs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yavas, Soner</au><au>Kervan, Umit</au><au>Karahan, Mehmet</au><au>Kocabeyoglu, Sinan Sabit</au><au>Sert, Dogan Emre</au><au>Ersoy, Ozgur</au><au>Demirkan, Burcu</au><au>Temizhan, Ahmet</au><au>Ozatik, Mehmet Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Should we touch tricuspid valve at the time of LVAD implantation? A young patient series</atitle><jtitle>International journal of artificial organs</jtitle><addtitle>Int J Artif Organs</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>46</volume><issue>8-9</issue><spage>514</spage><epage>519</epage><pages>514-519</pages><issn>0391-3988</issn><eissn>1724-6040</eissn><abstract>Background:
The aim of the study is to compare the results of patients who had moderate or severe tricuspid insufficiency (TI) at the time of left ventricular assist device (LVAD) implantation that did not undergo intervention.
Methods:
Between October 2013 and December 2019, 144 patients who did not undergo tricuspid valve repair (TVR) during LVAD implantation in our department were included in the study. The patients were divided into two groups according to the TI grade; Group 1: 106 patients (73.6%) with moderate TI and Group 2: 38 patients (26.4%) with severe TI. All patients were evaluated for mortality, need of inotrope, blood product transfusion, intensive care unit (ICU) stay, duration of mechanical ventilation, and early and late right ventricular failure (RVF). Minimally invasive technique was favored in patients with worse right ventricular (RV) function to prevent the need for postoperative RV support and bleeding.
Results:
The mean ages of the patients in the Group 1 and Group 2 were 46 ± 15 years (82% male), and 45 ± 11.2 years (81.5% males), respectively. Post-operative duration of mechanical ventilation, ICU stay, blood loss, and reoperations were similar (p > 0.05). There was no significant difference in early RVF, pump thrombosis, stroke, bleeding, and 30-day mortality between groups (p > 0.05). Incidence of late RVF was higher in Group 2 (p < 0.05).
Conclusion:
Although the risk of late RVF may increase in patients with preoperative severe TI, not intervening in TI during LVAD implantation does not cause adverse clinical outcomes in the early period.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>37334781</pmid><doi>10.1177/03913988231181604</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7312-830X</orcidid><orcidid>https://orcid.org/0000-0003-1705-4999</orcidid><orcidid>https://orcid.org/0000-0001-7198-069X</orcidid><orcidid>https://orcid.org/0000-0001-5492-4004</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0391-3988 |
| ispartof | International journal of artificial organs, 2023-09, Vol.46 (8-9), p.514-519 |
| issn | 0391-3988 1724-6040 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2827663460 |
| source | SAGE Complete A-Z List |
| subjects | Bleeding Blood Blood transfusion Heart Implantation Mechanical ventilation Mortality Right ventricular failure Thromboembolism Thrombosis Tricuspid valve Ventilation Ventilators Ventricle Ventricular assist devices |
| title | Should we touch tricuspid valve at the time of LVAD implantation? A young patient series |
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