De Novo Aortic Regurgitation After Continuous-Flow Left Ventricular Assist Device Implantation

被引：36

作者：

Gasparovic, Hrvoje

Kopjar, Tomislav

Saeed, Diyar

Cikes, Maja

Svetina, Lucija

Petricevic, Mate

Lovric, Daniel

Milicic, Davor

Biocina, Bojan

机构：

[1] Univ Zagreb, Sch Med, Univ Hosp Ctr Zagreb, Dept Cardiac Surg, Zagreb, Croatia

[2] Univ Zagreb, Sch Med, Univ Hosp Ctr Zagreb, Dept Cardiol, Zagreb, Croatia

[3] Heinrich Heine Univ Dusseldorf, Clin Cardiovasc Surg, Dusseldorf, Germany

来源：

ANNALS OF THORACIC SURGERY | 2017年 / 104卷 / 02期

关键词：

BLOOD-PRESSURE; INSUFFICIENCY; VALVE; MANAGEMENT; CONSEQUENCES; SUPPORT; CLOSURE;

D O I：

10.1016/j.athoracsur.2017.01.114

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Continuous-flow left ventricular assist devices (cf-LVAD) play an important role in the management of patients with advanced heart failure. De novo aortic regurgitation after cf-LVAD implantation may adversely impact device performance. We performed a systematic search of PubMed, SCOPUS, and Cochrane Library for articles reporting on the incidence and predictors of de novo aortic regurgitation among cf-LVAD recipients. Eight studies totaling 548 patients were identified in the meta-analysis. The pooled incidence of de novo AR across the analyzed studies was 37%. Factors influencing its development and progression are older age, persistent aortic valve closure, being female, and duration of cf-LVAD support. (C) 2017 by The Society of Thoracic Surgeons

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收藏

页码：704 / 711

页数：8

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