Thoracotomy versus sternotomy? The effect of surgical approach on outcomes after left ventricular assist device implantation: A review of the literature and meta-analysis.
Berhane M WorkuIvan GambardellaMohamed RahoumaMichelle DemetresMario F L GaudinoLeonard N GirardPublished in: Journal of cardiac surgery (2021)
In the current meta-analysis including over 1000 patients undergoing LVAD implantation, a thoracotomy approach was associated with a reduced incidence of RVF (but not RVAD requirement), bleeding, LOS, and mortality. No difference in stroke rates was noted. These findings not only offer additional support as to the feasibility of a thoracotomy approach for LVAD implantation but also suggest a potential superiority over a sternotomy approach.
Keyphrases
- left ventricular assist device
- aortic valve replacement
- patients undergoing
- systematic review
- aortic valve
- transcatheter aortic valve implantation
- atrial fibrillation
- aortic stenosis
- risk factors
- cardiovascular events
- meta analyses
- ejection fraction
- type diabetes
- human health
- cardiovascular disease
- heart failure
- cerebral ischemia