The Lebanese left ventricular assist device experience, a success story despite the odds
Abstract Background and aim Heart failure is still a leading cause of mortality and morbidity. Assist devices are reserved for advanced heart failure patients with no other therapeutic options. We aim in this paper to describe the characteristics and outcome of Lebanese left ventricular assist devic...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-020-01235-7 |
| _version_ | 1811331545645973504 |
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| author | R. Hamdan S. Fakih M. Mohammad F. Charif H. Abdallah S. Safa F. Al Ali M. Issa B. Damen A. el Zein M. Younes A. Rabah M. Saab |
| author_facet | R. Hamdan S. Fakih M. Mohammad F. Charif H. Abdallah S. Safa F. Al Ali M. Issa B. Damen A. el Zein M. Younes A. Rabah M. Saab |
| author_sort | R. Hamdan |
| collection | DOAJ |
| description | Abstract Background and aim Heart failure is still a leading cause of mortality and morbidity. Assist devices are reserved for advanced heart failure patients with no other therapeutic options. We aim in this paper to describe the characteristics and outcome of Lebanese left ventricular assist device (LVAD) patients. Results From 2010 till December 2019, 78 patients were implanted with assist devices at the Beirut cardiac Institute, 82 pumps were used. To the most recent follow up after 10 years, 26 patients died (34%). 24 patients of 35 (68%) survived more than 5 years. Seven patients only (9%) died during one month of surgery. One year mortality was 19% (15 patients). The leading cause of early mortality was infection, whereas cerebrovascular accidents CVA were the leading cause of late mortality. Pump thrombosis occurred in 12% of the cases. The most serious long term complication was haemorrhagic CVA. Only seven patients (9%) received heart transplantation, with a mean time on support prior to transplantation of 1303 ± 213 days. Conclusion In this manuscript we reported the characteristics and outcome of the largest population of LVAD patients in Lebanon. The survival rate was 81% at one year. These findings were comparable to the international registries except for rates of heart transplantation. More efforts should be made to encourage organ donation in Lebanon. |
| first_indexed | 2024-04-13T16:21:04Z |
| format | Article |
| id | doaj.art-b43397906e39447dbeef8743e18a19cb |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-13T16:21:04Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-b43397906e39447dbeef8743e18a19cb2022-12-22T02:39:55ZengBMCJournal of Cardiothoracic Surgery1749-80902020-07-011511710.1186/s13019-020-01235-7The Lebanese left ventricular assist device experience, a success story despite the oddsR. Hamdan0S. Fakih1M. Mohammad2F. Charif3H. Abdallah4S. Safa5F. Al Ali6M. Issa7B. Damen8A. el Zein9M. Younes10A. Rabah11M. Saab12Cardiology department, Beirut Cardiac InstituteCardiology fellow, Cardiology department, Beirut Cardiac InstituteLebanese Society of Cardiology, Cardiology department, Bahman HospitalCritical care unit, Beirut Cardiac InstituteCockrell school of engineering, University of TexasCardiology fellow, Cardiology department, Beirut Cardiac InstituteCardiac surgeon, Cardiac Surgery department, Beirut Cardiac InstituteCardiac Surgery department, Beirut Cardiac InstituteCardiac Surgery department, Beirut Cardiac InstituteCardiac Surgery department, Beirut Cardiac InstituteCardiology department, Beirut Cardiac InstituteCardiac Surgery department, Beirut Cardiac InstituteCardiac Surgery department, Beirut Cardiac InstituteAbstract Background and aim Heart failure is still a leading cause of mortality and morbidity. Assist devices are reserved for advanced heart failure patients with no other therapeutic options. We aim in this paper to describe the characteristics and outcome of Lebanese left ventricular assist device (LVAD) patients. Results From 2010 till December 2019, 78 patients were implanted with assist devices at the Beirut cardiac Institute, 82 pumps were used. To the most recent follow up after 10 years, 26 patients died (34%). 24 patients of 35 (68%) survived more than 5 years. Seven patients only (9%) died during one month of surgery. One year mortality was 19% (15 patients). The leading cause of early mortality was infection, whereas cerebrovascular accidents CVA were the leading cause of late mortality. Pump thrombosis occurred in 12% of the cases. The most serious long term complication was haemorrhagic CVA. Only seven patients (9%) received heart transplantation, with a mean time on support prior to transplantation of 1303 ± 213 days. Conclusion In this manuscript we reported the characteristics and outcome of the largest population of LVAD patients in Lebanon. The survival rate was 81% at one year. These findings were comparable to the international registries except for rates of heart transplantation. More efforts should be made to encourage organ donation in Lebanon.http://link.springer.com/article/10.1186/s13019-020-01235-7Left ventricular assist devicesMiddle EastMortalityMorbidity |
| spellingShingle | R. Hamdan S. Fakih M. Mohammad F. Charif H. Abdallah S. Safa F. Al Ali M. Issa B. Damen A. el Zein M. Younes A. Rabah M. Saab The Lebanese left ventricular assist device experience, a success story despite the odds Journal of Cardiothoracic Surgery Left ventricular assist devices Middle East Mortality Morbidity |
| title | The Lebanese left ventricular assist device experience, a success story despite the odds |
| title_full | The Lebanese left ventricular assist device experience, a success story despite the odds |
| title_fullStr | The Lebanese left ventricular assist device experience, a success story despite the odds |
| title_full_unstemmed | The Lebanese left ventricular assist device experience, a success story despite the odds |
| title_short | The Lebanese left ventricular assist device experience, a success story despite the odds |
| title_sort | lebanese left ventricular assist device experience a success story despite the odds |
| topic | Left ventricular assist devices Middle East Mortality Morbidity |
| url | http://link.springer.com/article/10.1186/s13019-020-01235-7 |
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