Left Ventricular Assist Device Implantation in Hypertrophic and Restrictive Cardiomyopathy: A Systematic Review

被引:16
作者
Sreenivasan, Jayakumar [1 ,2 ]
Kaul, Risheek [1 ,2 ]
Khan, Muhammad Shahzeb [3 ]
Ranka, Sagar [4 ]
Demmer, Ryan T. [5 ]
Yuzefpolskaya, Melana [6 ]
Aronow, Wilbert S. [1 ,2 ]
Warraich, Haider J. [7 ,8 ]
Pan, Stephen [1 ,2 ]
Panza, Julio A. [1 ,2 ]
Cooper, Howard A. [1 ,2 ]
Naidu, Srihari S. [1 ,2 ]
Colombo, Paolo C. [6 ]
机构
[1] Westchester Med Ctr, Div Cardiol, Valhalla, NY 10595 USA
[2] New York Med Coll, Valhalla, NY 10595 USA
[3] John H Stroger Jr Hosp Cook Cty, Dept Internal Med, Chicago, IL USA
[4] Kansas Univ, Div Cardiovasc Med, Med Ctr, Kansas City, KS USA
[5] Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA
[6] Columbia Univ Coll Phys & Surg, Dept Med, Div Cardiol, New York, NY USA
[7] Harvard Med Sch, Brigham & Womens Hosp, Dept Med, Div Cardiovasc Med, Boston, MA 02115 USA
[8] VA Boston Healthcare Syst, Cardiol Sect, Dept Med, Boston, MA USA
关键词
hypertrophic cardiomyopathy; restrictive cardiomyopathy; dilated cardiomyopathy; mechanical circulatory support; left ventricular assist devices; refractory heart failure; HEART-FAILURE; TASK-FORCE; TRANSPLANTATION; PREVALENCE; MANAGEMENT; DIAGNOSIS; OUTCOMES; SOCIETY;
D O I
10.1097/MAT.0000000000001238
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Left ventricular assist device (LVAD) implantation in patients with advanced heart failure due to hypertrophic or restrictive cardiomyopathy (HCM/RCM) presents technical and physiologic challenges. We conducted a systematic review of observational studies to evaluate the utilization and clinical outcomes associated with LVAD implantation in patients with HCM/RCM and compared these to patients with dilated or ischemic cardiomyopathy (DCM/ICM). We searched MEDLINE, EMBASE, and Scopus from inception through May 2019 and included appropriate studies describing the use of an LVAD in patients with HCM/RCM. We identified six studies with a total of 2,766 patients with HCM/RCM and advanced heart failure, among whom 338 patients (12.2%) underwent LVAD implantation. In patients listed for transplant, the rate of LVAD implantation was significantly lower in patients with HCM/RCM compared to that in patients with DCM/ICM (4.4% vs. 18.2%, p < 0.001). Adverse clinical outcomes were significantly higher in HCM/RCM than in DCM/ICM, including operative/short-term mortality (14.0% vs. 9.0%), right ventricular failure (50.0% vs. 21.0%), infection (15.5% vs. 11.2%), bleeding (40.2% vs. 12.5%), renal failure (15.0% vs. 5.1%), stroke (5.0% vs. 2.4%), and arrhythmias (18.0% vs. 7.7%) (all p values <0.001).
引用
收藏
页码:239 / 244
页数:6
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