Anesthetic Management for Left Ventricular Assist Device Implantation Through Left Thoracotomy: Evaluation of On-Pump Versus Off-Pump

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dc.contributor.authorSahutoglu, C.
dc.contributor.authorTurksal, E.
dc.contributor.authorBilic, U.
dc.contributor.authorKocabas, S.
dc.contributor.authorAskar, F. Zekiye
dc.contributor.authorOzturk, P.
dc.contributor.authorErtugay, S.
dc.contributor.authorEngin, C.
dc.contributor.authorYagdi, T.
dc.contributor.authorOzbaran, M.
dc.date.accessioned2019-10-27T11:09:22Z
dc.date.available2019-10-27T11:09:22Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground. Ventricular assist devices (VADs) are alternative approaches to medical treatment in patients with acute or chronic heart failure. The goal of this study was to compare an anesthetic approach in patients undergoing implantation of a VAD with (on pump) or without (off-pump) cardiopulmonary bypass (CPB) through left thoracotomy. Methods. A total of 32 patients were divided into 2 groups: on-pump (group 1) and off pump (group 2). A standard anesthesia protocol was used in all patients. Baseline characteristics of the patients, intraoperative hemodynamic and respiratory variables, anesthetic agents and vasoactive drugs administered, the amount of blood products, extubation, length of hospital stay and intensive care unit stay, and postoperative complications were recorded. Results. Patients' mean age was 54.7 +/- 13.3 years (range, 18-74 years). Eighteen patients underwent surgery with CPB. Demographic data of the patients, preoperative characteristics, intraoperative use of blood products, intraoperative complications, and anesthetic drugs used were similar between groups (P >.05). The duration of surgery (219 +/- 23 vs 273 +/- 56 minutes) and anesthesia (274 +/- 38 vs 323 +/- 57 minutes) were shorter in group 2; there was no difference between the 2 groups in terms of mechanical ventilation time, length of stay in the intensive care unit, and length of hospital stay. There was no decrease in postoperative oxygen parameters and an increase in patient lactate levels with the use of CPB. The use of fresh frozen plasma and platelet suspension in the postoperative period was significantly higher in group 1 (P <.05). The rate of complications and mortality rate were comparable between the 2 groups (P >.05). Conclusions. Our study results show that the use of CPB during VAD implantation via left thoracotomy increases operation time and use of blood products, while causing no change in the rate of complications.en_US
dc.identifier.doi10.1016/j.transproceed.2017.01.013en_US
dc.identifier.endpage592en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue3en_US
dc.identifier.pmid28340838en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage587en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2017.01.013
dc.identifier.urihttps://hdl.handle.net/11454/32280
dc.identifier.volume49en_US
dc.identifier.wosWOS:000398017900042en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedingsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleAnesthetic Management for Left Ventricular Assist Device Implantation Through Left Thoracotomy: Evaluation of On-Pump Versus Off-Pumpen_US
dc.typeArticleen_US

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