Journal article
Characteristics and outcome of ambulatory heart failure patients receiving a left ventricular assist device
ESC Heart Failure, Vol.8(6), pp.5159-5167
12/2021
DOI: 10.1002/ehf2.13592
PMCID: PMC8712824
PMID: 34494391
Abstract
Aims: Despite regularly updated guidelines, there is still a delay in referral of advanced heart failure patients to mechanical circulatory support and transplant centres. We aimed to analyse characteristics and outcome of non-inotrope-dependent patients implanted with a left ventricular assist device (LVAD).Methods and results: The ASSIST-ICD registry collected LVAD data in 19 centres in France between February 2006 and December 2016. We used data of patients in Interagency Registry for Mechanically Assisted Circulatory Support Classes 4-7. The primary endpoint was survival analysis. Predictors of mortality were searched with multivariable analyses. A total of 303 patients (mean age 61.0 ± 9.9 years, male sex 86.8%) were included in the present analysis. Ischaemic cardiomyopathy was the leading heart failure aetiology (64%), and bridge to transplantation was the main implantation strategy (56.1%). The overall likelihood of being alive while on LVAD support or having a transplant at 1, 2, 3, and 5 years was 66%, 61.7%, 58.7%, and 55.1%, respectively. Age [hazard ratio (HR) 1.03, 95% confidence interval (CI) 1.00-1.05; P = 0.02], a concomitant procedure (HR 2.32, 95% CI 1.52-3.53; P < 0.0001), and temporary mechanical right ventricular support during LVAD implantation (HR 2.94, 95% CI 1.49-5.77; P = 0.002) were the only independent variables associated with mortality. Heart failure medications before or after LVAD implantation were not associated with survival.Conclusion: Ambulatory heart failure patients displayed unsatisfactory survival rates after LVAD implantation. A better selection of patients who can benefit from LVAD may help improving outcomes.
Details
- Title: Subtitle
- Characteristics and outcome of ambulatory heart failure patients receiving a left ventricular assist device
- Creators
- Guillaume Baudry - Hospices Civils de LyonNicolas Nesseler - Laboratoire Traitement du Signal et de l'ImageErwan Flecher - Laboratoire Traitement du Signal et de l'ImageAndré Vincentelli - Centre Hospitalier Universitaire de LilleCéline Goeminne - Centre Hospitalier Universitaire de LilleClément Delmas - Centre Hospitalier Universitaire de ToulouseJean Porterie - Centre Hospitalier Universitaire de ToulouseKarine Nubret - Hôpital Cardiologique du Haut-LévêqueMathieu Pernot - Hôpital Cardiologique du Haut-LévêqueMichel Kindo - Hôpitaux Universitaires de StrasbourgTam Hoang Minh - Hôpitaux Universitaires de StrasbourgPhilippe Rouvière - Hôpital Arnaud de VilleneuvePhilippe Gaudard - Hôpital Arnaud de VilleneuveMagali Michel - Centre Hospitalier Universitaire de NantesThomas Senage - Centre Hospitalier Universitaire de NantesAude Boignard - Hôpital Albert MichallonOlivier Chavanon - Hôpital Albert MichallonMarylou Para - Hôpital Bichat-Claude-BernardConstance Verdonk - Hôpital Bichat-Claude-BernardEdeline Pelcé - Hôpital de la TimoneVlad Gariboldi - Hôpital de la TimoneFrederic Anselme - Hôpital Charles-NicollePierre‐yves Litzler - Université de Rouen NormandieKatrien Blanchart - Université de Caen NormandieGerard Babatasi - Université de Caen NormandieMarie Bielefeld - Centre Hospitalier Universitaire Dijon BourgogneOlivier Bouchot - Centre Hospitalier Universitaire Dijon BourgogneDavid Hamon - Centre Hospitalier Universitaire Henri-MondorNicolas Lellouche - Hôpitaux Universitaires Henri-MondorXavier Bailleul - Centre Hospitalier Universitaire de ToursThibaud Genet - Centre Hospitalier Universitaire de ToursRomain Eschalier - Centre Hospitalier Universitaire de Clermont-FerrandNicolas d'Ostrevy - Charmo UniversityMarie‐cécile Bories - Hôpital Européen Georges-PompidouRamzi Abi Akar - Hôpital Européen Georges-PompidouHugues Blangy - Centre Hospitalier Universitaire de NancyFabrice Vanhuyse - Centre Hospitalier Universitaire de NancyJean François Obadia - Hospices Civils de LyonVincent Galand - Laboratoire Traitement du Signal et de l'ImageMatteo Pozzi - Hôpital Louis Pradel
- Resource Type
- Journal article
- Publication Details
- ESC Heart Failure, Vol.8(6), pp.5159-5167
- Publisher
- Wiley
- DOI
- 10.1002/ehf2.13592
- PMID
- 34494391
- PMCID
- PMC8712824
- ISSN
- 2055-5822
- eISSN
- 2055-5822
- Language
- English
- Date published
- 12/2021
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984691512702771
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