Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device
Left ventricular assist devices (LVADs) may be used as bridge therapy or destination therapy in heart failure patients. Total joint arthroplasty may improve the functional status of patients limited by arthritis. This retrospective case series evaluated patients with an implanted LVAD who underwent...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344122001625 |
| _version_ | 1797924711962771456 |
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| author | John H. Rosenberg, MD Kevin L. Garvin, MD Curtis W. Hartman, MD Beau S. Konigsberg, MD |
| author_facet | John H. Rosenberg, MD Kevin L. Garvin, MD Curtis W. Hartman, MD Beau S. Konigsberg, MD |
| author_sort | John H. Rosenberg, MD |
| collection | DOAJ |
| description | Left ventricular assist devices (LVADs) may be used as bridge therapy or destination therapy in heart failure patients. Total joint arthroplasty may improve the functional status of patients limited by arthritis. This retrospective case series evaluated patients with an implanted LVAD who underwent a total joint arthroplasty at 1 institution from 2012 to present. Five patients underwent 12 surgeries with 7 primary arthroplasties and 5 revisions. Their mortality, length of stay, coagulopathic events, incidence of infection or revision arthroplasty, and heart transplantation were evaluated, and is the largest study to date of this population. Two patients expired from thrombotic events while 3 progressed to heart transplantation. Joint arthroplasty is feasible in patients with an implanted LVAD with expected risk and perioperative multidisciplinary collaboration. |
| first_indexed | 2024-04-10T15:05:23Z |
| format | Article |
| id | doaj.art-7798b4245c564de9add9dd5a3a3b805d |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-04-10T15:05:23Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-7798b4245c564de9add9dd5a3a3b805d2023-02-15T04:28:17ZengElsevierArthroplasty Today2352-34412023-02-0119101005Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist DeviceJohn H. Rosenberg, MD0Kevin L. Garvin, MD1Curtis W. Hartman, MD2Beau S. Konigsberg, MD3University of Nebraska Medical Center, Omaha, NE, USAUniversity of Nebraska Medical Center, Omaha, NE, USAUniversity of Nebraska Medical Center, Omaha, NE, USACorresponding author. University of Nebraska Medical Center, 4014 Leavenworth Street, Omaha, NE 68105, USA. Tel.: +1 402 559 8000.; University of Nebraska Medical Center, Omaha, NE, USALeft ventricular assist devices (LVADs) may be used as bridge therapy or destination therapy in heart failure patients. Total joint arthroplasty may improve the functional status of patients limited by arthritis. This retrospective case series evaluated patients with an implanted LVAD who underwent a total joint arthroplasty at 1 institution from 2012 to present. Five patients underwent 12 surgeries with 7 primary arthroplasties and 5 revisions. Their mortality, length of stay, coagulopathic events, incidence of infection or revision arthroplasty, and heart transplantation were evaluated, and is the largest study to date of this population. Two patients expired from thrombotic events while 3 progressed to heart transplantation. Joint arthroplasty is feasible in patients with an implanted LVAD with expected risk and perioperative multidisciplinary collaboration.http://www.sciencedirect.com/science/article/pii/S2352344122001625LVADKneeHipHeart transplantation |
| spellingShingle | John H. Rosenberg, MD Kevin L. Garvin, MD Curtis W. Hartman, MD Beau S. Konigsberg, MD Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device Arthroplasty Today LVAD Knee Hip Heart transplantation |
| title | Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device |
| title_full | Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device |
| title_fullStr | Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device |
| title_full_unstemmed | Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device |
| title_short | Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device |
| title_sort | total joint arthroplasty in patients with an implanted left ventricular assist device |
| topic | LVAD Knee Hip Heart transplantation |
| url | http://www.sciencedirect.com/science/article/pii/S2352344122001625 |
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