Betreuung von patienten an linksventrikulären unterstü tzungssystemen mittels koordinator: Erfahrungen des Methodist DeBakey Heart Centers

Translated title of the contribution: LVAD coordinator effects on outcomes in patients undergoing LVAD implantation: The Methodist DeBakey Heart Center experience

Matthias Loebe, Christian A. Skrabal, Richard R. Roberts, Ahmet Akgul, Larry O. Thompson, George P. Noon, Michael E. DeBakey, Michael M. Koerner, Guillermo Torre-Amione

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Use of left ventricular assist devices (LVAD) for support of endstage heart failure patients as a bridge to cardiac transplantation creates opportunities both for improved patient survival rate and for lower peri-operative complications. We investigated the effect on patient outcomes and incidence of complication of assigning an LVAD coordinator for heightened clinical monitoring and patient management in this population. Methods: Between June 2000 and January 2002, 28 patients with terminal heart failure underwent LVAD implantation, 14 patients prior to LVAD-coordinator employment and 14 patients under supervision of the LVAD coordinator. Patients' records were retrospectively analyzed for incidence of infection, life-threatening thromboembolic and bleeding events, and hospital charges. Results: In the pre-coordinator group, two patients were discharged home while on LVAD support. Seven patients (50%) developed infections requiring antibiotic treatment; five patients (35%) had severe life-threatening thromboembolic events. Six patients were transplanted and eight patients died while on LVAD support, giving an overall survival of 42% in this group. In the post-coordinator group, seven patients were discharged home while on LVAD support. Four patients developed infections, one patient had a severe life-threatening thromboembolic event. Ten patients were successfully transplanted, one patient is currently supported on the device, and 3 patients died, for an overall survival of 78% in this group. Conclusion: The use of a fulltime professional coordinator has had a beneficial impact on patient outcomes. Patient survival was improved, device-related complications were reduced and eligible patients could be discharged safely from the hospital.

Translated title of the contributionLVAD coordinator effects on outcomes in patients undergoing LVAD implantation: The Methodist DeBakey Heart Center experience
Original languageGerman
Pages (from-to)52-56
Number of pages5
JournalZeitschrift fur Herz-, Thorax- und Gefasschirurgie
Volume18
Issue number1
DOIs
StatePublished - Feb 1 2004
Externally publishedYes

Keywords

  • LVAD coordinator
  • Left ventricular assist devices
  • Transplantation

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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