Pectoralis muscle measures on preoperative computed tomography are strong predictors of early rehospitalization after left ventricular assist device implantation
نویسندگان
چکیده
Abstract Funding Acknowledgements Type of funding sources: None. Background/Introduction Skeletal muscle mass is reduced in severe heart failure and has a significantly impacts on subsequent outcomes quality life. The assessment pectoralis measures by computed tomography (CT) scan may be predictive after left ventricular assist device (LVAD) implantation. Purpose This study aims to assess preoperative before LVAD implantation predict early rehospitalization the patient. Methods We measured cross-sectional area mean CT values unilateral (PHUm: Hounsfield unit muscle) scans within 3 months surgery patients who underwent HeartMate for bridge transplant (BTT) or destination therapy (DT) at our hospital, August 2022. was corrected body surface (PMI: index). SYNAPSE VINCENT image analysis (Fuji Film) using an axial section superior margin aortic arch (Figure A). under curve (AUC), sensitivity, specificity each index calculated receiver operating characteristic (ROC) prediction accuracy PHUm, PMI, product PHUm PMI 30, 60, 90 180 days from discharge. Results Of reviewed 39 implantation, 32 (82%) were male, BTT. median age 52 years (interquartile range [IQR], 42–57). During follow-up period discharge (median: 520 days, IQR: 116–707), 19 (53%) had unscheduled hospitalizations due 8 LVAD-related infections, 1 failure, cardiac arrhythmia, 9 other reasons. time between 70 (IQR, 31–139). ROC showed that AUC particularly high 30 with optimal cutoff 21.8 (HU) (sensitivity 0.903, 0.800, 0.884), 6.37 cm2/m2 0.806, 0.735), 142.8 1.000, 0.948) B). Conclusion strong predictor
منابع مشابه
Preoperative Pectoralis Muscle Quantity and Attenuation by Computed Tomography Are Novel and Powerful Predictors of Mortality After Left Ventricular Assist Device Implantation.
BACKGROUND Skeletal muscle mass decreases in end-stage heart failure and is predictive of clinical outcomes in several disease states. Skeletal muscle attenuation and quantity as quantified on preoperative chest computed tomographic scans may be predictive of mortality after continuous flow (CF) left ventricular assist device (LVAD) implantation. METHODS AND RESULTS A single-center continuous...
متن کاملPreoperative Pectoralis Muscle Quantity and Attenuation by Computed Tomography Are Novel and Powerful Predictors of Mortality After Left Ventricular Assist Device Implantation
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Right ventricular failure after implantation of a continuous-flow left ventricular assist device: early haemodynamic predictors.
OBJECTIVES Right ventricular failure (RVF) is a significant complication after implantation of a left ventricular assist device. We aimed to identify haemodynamic changes in the early postoperative phase that predicted subsequent development of RVF in a cohort of HeartMate II (HMII) implanted patients. METHODS This was a single-centre observational study of consecutive placement of HMII devic...
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BACKGROUND Left ventricular assist devices (LVADs) have been used as a bridge to cardiac transplantation and as destination therapy in patients with advanced heart failure. The period after LVAD support is associated with ventricular arrhythmias (VAs) despite ventricular unloading and such VAs can have a detrimental effect on survival. Despite the increasing use of LVAD, little is known regardi...
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Number of left ventricular assist device (LVAD) implantations increases every year, particularly LVADs for destination therapy (DT). Right ventricular failure (RVF) has been recognized as a serious complication of LVAD implantation. Reported incidence of RVF after LVAD ranges from 6% to 44%, varying mostly due to differences in RVF definition, different types of LVADs, and differences in patien...
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ژورنال
عنوان ژورنال: European Journal of Echocardiography
سال: 2023
ISSN: ['2047-2412', '2047-2404']
DOI: https://doi.org/10.1093/ehjci/jead119.180