Stroke outcomes following durable left ventricular assist device implant in patients bridged with micro‐axial flow pump: Insights from a large registry

Background Stroke after durable left ventricular assist device (d‐LVAD) implantation portends high mortality. The incidence of ischemic and hemorrhagic stroke and the impact on stroke outcomes of temporary mechanical circulatory support (tMCS) management among patients requiring bridge to d‐LVAD wit...

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Published in:Artificial organs 2024-10, Vol.48 (10), p.1168-1179
Main Authors: Gallone, Guglielmo, Lewin, Daniel, Rojas Hernandez, Sebastian, Bernhardt, Alexander, Billion, Michael, Meyer, Anna, Netuka, Ivan, Kooij, J‐J, Pieri, Marina, Szymanski, Mariusz K., Moeller, Christian H., Akhyari, Payam, Jawad, Khalil, Krasivskyi, Ihor, Schmack, Bastian, Färber, Gloria, Medina, Marta, Haneya, Assad, Zimpfer, Daniel, Nersesian, Gaik, Lanmueller, Pia, Spitaleri, Antonio, Oezkur, Mehmet, Djordjevic, Ilija, Saeed, Diyar, Boffini, Massimo, Stein, Julia, Gustafsson, F., Scandroglio, Anna Mara, De Ferrari, Gaetano Maria, Meyns, Bart, Hofmann, Steffen, Belohlavek, Jan, Gummert, Jan, Rinaldi, Mauro, Potapov, Evgenij V., Loforte, Antonio
Format: Article
Language:English
Subjects:
Aged
Aorta
Axial flow pumps
Balloon treatment
bridge strategy
Female
Heart
Heart Failure - therapy
Heart-Assist Devices - adverse effects
Hemolysis
Hemorrhage
Hemorrhagic Stroke - epidemiology
Hemorrhagic Stroke - etiology
Humans
impella
Implantation
Incidence
Ischemia
Ischemic Stroke - epidemiology
Ischemic Stroke - etiology
left ventricular assist device
Male
micro‐axial flow pump
Middle Aged
Mortality
outcomes
Registries
Retrospective Studies
Stroke
Stroke - epidemiology
Stroke - etiology
Treatment Outcome
Ventricle
Ventricular assist devices
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Summary:Background Stroke after durable left ventricular assist device (d‐LVAD) implantation portends high mortality. The incidence of ischemic and hemorrhagic stroke and the impact on stroke outcomes of temporary mechanical circulatory support (tMCS) management among patients requiring bridge to d‐LVAD with micro‐axial flow‐pump (mAFP, Abiomed) is unsettled. Methods Consecutive patients, who underwent d‐LVAD implantation after being bridged with mAFP at 19 institutions, were retrospectively included. The incidence of early ischemic and hemorrhagic stroke after d‐LVAD implantation (
ISSN:0160-564X
1525-1594
1525-1594
DOI:10.1111/aor.14775