TY  - BOOK
AU  - Ahmed, Sara
AU  - Hockstein, Michael
AU  - Hofmeyer, Mark
AU  - Jain, Amiti
AU  - Kadakkal, Ajay
AU  - Lam, Phillip H
AU  - Molina, Ezequiel J
AU  - Najjar, Samer S
AU  - Rao, Siram
AU  - Rodrigo, Maria
AU  - Sheikh, Farooq
TI  - Outcomes in patients with smaller body surface area after HeartMate 3 left ventricular assist device implantation
SN  - 0160-564X
PY  - 2022///
KW  - *Body Surface Area
KW  - *Heart-Assist Devices
KW  - Body Mass Index
KW  - Cohort Studies
KW  - Diabetes Mellitus/ep [Epidemiology]
KW  - Diastole
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Patient Readmission
KW  - Retrospective Studies
KW  - Stroke/ep [Epidemiology]
KW  - Thrombosis/ep [Epidemiology]
KW  - MedStar Heart & Vascular Institute
KW  - MedStar Washington Hospital Center
KW  - Surgical Critical Care
KW  - Journal Article
N2  - BACKGROUND: Due to anatomic and physiologic concerns, prior generations of the left ventricular assist devices (LVAD) have frequently been denied to patients with small body size. However, outcomes in patients with small body surface area (BSA) following HeartMate 3 (HM3) LVAD implantation remain relatively unknown; CONCLUSIONS: These findings demonstrate comparable outcomes in patients with small body size and suggest that this parameter should not be an exclusion criterion on patients who are otherwise candidates for HM3 LVAD implantation. Copyright (c) 2021 International Center for Artificial Organs and Transplantation and Wiley Periodicals LLC; METHODS: A cohort of 220 patients implanted at a single center was divided into two groups: BSA <=1.8 m2 (small BSA, n = 37) and BSA >1.8 m2 (large BSA, n = 183). We investigated baseline characteristics and clinical outcomes including survival and incidence of adverse events; RESULTS: Small BSA patients were older (60 vs. 57 years), more likely female (60% vs. 20%), had a lower body mass index (24 vs. 32 kg/m2 ), lower incidence of diabetes (32% vs. 51%), history of stroke (5% vs. 19%), and left ventricular thrombus (0% vs. 11%). They had smaller left ventricular end diastolic diameter (64.8 vs. 69.3 mm). Pump speed and pump flows at discharge were lower in the small BSA group. Survival at 1 year and 2 years was 86% versus 87% and 86% versus 79% for small versus large BSA groups (p = 0.408), respectively. The rates of adverse events were similar between groups and there were no cases of confirmed pump thrombosis. The incidence of readmissions for low flow alarms was higher in the small BSA group (0.55 vs. 0.24 EPPY)
UR  - https://dx.doi.org/10.1111/aor.14065
ER  -