Assessment of right ventricular function following left ventricular assist device (LVAD) implantation—The role of speckle‐tracking echocardiography: A meta‐analysis

Background Right ventricular failure (RVF) following left ventricular assist device (LVAD) implantation is associated with worse outcomes. Prediction of RVF is difficult with routine transthoracic echocardiography (TTE), while speckle‐tracking echocardiography (STE) showed promising results. We perf...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2020-12, Vol.37 (12), p.2048-2060
Main Authors: Barssoum, Kirolos, Altibi, Ahmed M., Rai, Devesh, Kharsa, Adnan, Kumar, Ashish, Chowdhury, Medhat, Elkaryoni, Ahmed, Abuzaid, Ahmed Sami, Baibhav, Bipul, Parikh, Vishal, Masri, Ahmad, Amsallem, Myriam, Nanda, Navin C.
Format: Article
Language:English
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Summary:Background Right ventricular failure (RVF) following left ventricular assist device (LVAD) implantation is associated with worse outcomes. Prediction of RVF is difficult with routine transthoracic echocardiography (TTE), while speckle‐tracking echocardiography (STE) showed promising results. We performed systematic review and meta‐analysis of published literature. Methods We queried multiple databases to compile articles reporting preoperative or intraoperative right ventricle global longitudinal strain (RVGLS) or right ventricle free wall strain (RVFWS) in LVAD recipients. The standard mean difference (SMD) in RVGLS and RVFWS in patients with and without RVF postoperatively was pooled using random‐effects model. Results Seventeen studies were included. Patients with RVF had significantly lower RVGLS and RVFWS as compared to non‐RVF patients; SMD: 2.79 (95% CI: −4.07 to −1.50; P:
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.14884