Contemporary Nationwide Heart Transplantation and Left Ventricular Assist Device Outcomes in Patients with Histories of Bariatric Surgery

被引：7

作者：

Hirji, Sameer A. ^{[1
,2
]}

Sabatino, Marlena E. ^{[3
]}

Minhas, Abdul Mannan Khan ^{[4
]}

Okoh, Alexis K. ^{[5
]}

Fudim, Marat ^{[6
,7
]}

Vaduganathan, Muthiah ^{[2
]}

Khan, Muhammad Shahzeb ^{[6
]}

机构：

[1] Brigham & Womens Hosp, Harvard Med Sch, Dept Surg, Div Thorac & Cardiac Surg, 75 Francis St, Boston, MA 02115 USA

[2] Brigham & Womens Hosp, Div Cardiol, Dept Med, Harvard Med Sch, 75 Francis St, Boston, MA 02115 USA

[3] Rutgers Robert Wood Johnson Med Sch, Dept Surg, Div Cardiothorac Surg, New Brunswick, NJ USA

[4] Forrest Gen Hosp, Dept Med, Hattiesburg, MS USA

[5] RWJ Barnabas Hlth, Cardiovasc Res Inst, Newark, NJ USA

[6] Duke Univ, Med Ctr, Div Cardiol, Durham, NC 27710 USA

[7] Duke Clin Res Inst, Durham, NC USA

来源：

JOURNAL OF CARDIAC FAILURE | 2022年 / 28卷 / 02期

关键词：

Bariatric surgery; left ventricular assist device; heart transplantation;

D O I：

10.1016/j.cardfail.2021.08.017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Bariatric surgery may play a role in the management of morbidly obese patients with end-stage heart failure through increasing eligibility and improving the outcomes of destination therapies. We conducted a nationally representative, retrospective cohort study of patients with previous bariatric surgery undergoing either heart transplantation or left ventricular assist device implantation. Of 200 patients, < 6% experienced in-hospital mortality after destination therapy, comparable to that reported in the general population of heart recipients. Risk-adjusted outcomes differed minimally from those of obese patients undergoing destination therapy without previous bariatric surgery. This study provides important safety bench-marking data and demonstrates the feasibility of bariatric surgery as a potential bridge to left ventricular assist device implantation or heart transplantation in obese patients with end-stage heart failure.

引用

页码：330 / 333

页数：4

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