FLAVOUR Study: FLow profiles And postoperative VasOplegia after continUous-flow left ventriculaR assist device implantation.

Axial flow Cardiac vasoplegia syndrome Centrifugal flow Centrifugal flow with artificial pulse Continuous-flow left ventricular assist device Flow profile Morbidity Mortality Outcomes

Journal

Journal of cardiovascular translational research
ISSN: 1937-5395
Titre abrégé: J Cardiovasc Transl Res
Pays: United States
ID NLM: 101468585

Informations de publication

Date de publication:
01 Feb 2024
Historique:
received: 01 05 2023
accepted: 12 12 2023
medline: 1 2 2024
pubmed: 1 2 2024
entrez: 1 2 2024
Statut: aheadofprint

Résumé

This study aims to associate the incidence of postoperative vasoplegia and short-term survival to the implantation of various left ventricular assist devices differing in hemocompatibility and flow profiles. The overall incidence of vasoplegia was 25.3% (73/289 patients) and 30.3% (37/122), 25.0% (18/72), and 18.9% (18/95) in the axial flow (AXF), centrifugal flow (CF), and centrifugal flow with artificial pulse (CFAP) group, respectively. Vasoplegia was associated with longer intensive care (ICU) and hospital length of stay (LOS) and mortality. ICU and in-hospital LOS and 1-year mortality were the lowest in the CFAP group. Post hoc analysis resulted in a p-value of 0.43 between AXF and CF; 0.35 between CF and CFAP; and 0.06 between AXF and CFAP. Although there is a trend in diminished incidence of vasoplegia, pooled logistic regression using flow profile and variables that remained after feature selection showed that flow profile was not an independent predictor for postoperative vasoplegia.

Identifiants

pubmed: 38300356
doi: 10.1007/s12265-023-10476-5
pii: 10.1007/s12265-023-10476-5
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Bas J Kersten (BJ)

Department of Anesthesiology, University Medical Center Utrecht, Post Office Box 85500, 3508, Utrecht, GA, Netherlands.

Lieke Numan (L)

Department of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands.

Marnix M van der Schoot (MM)

Department of Anesthesiology, Leiden University Medical Center, Leiden, Netherlands.

Michel de Jong (M)

Heartbeat Perfusion, University Medical Center Utrecht, Utrecht, Netherlands.

Faiz Ramjankhan (F)

Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, Netherlands.

Emmeke Aarts (E)

Department of Methodology and Statistics, Utrecht University, Utrecht, Netherlands.

Marish I F J Oerlemans (MIFJ)

Department of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands.

Linda W van Laake (LW)

Department of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands.

Eric E C de Waal (EEC)

Department of Anesthesiology, University Medical Center Utrecht, Post Office Box 85500, 3508, Utrecht, GA, Netherlands. e.e.c.dewaal@umcutrecht.nl.

Classifications MeSH