ArticleOrthopedic reviews2025
orthopedic surgical procedures in patients supported with long-term implantable left ventricular assist devices.
Article in Orthopedic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
With advancements in Left Ventricular Assist Devices (LVAD) technology, patients supported by LVAD are pursuing non-cardiac surgeries at a higher rate. This study is the largest retrospective case series to date to examine orthopedic surgery outcomes in this patient population. # Case Presentation From January 1, 2012, to December 31, 2022, there were 40 patients with LVAD who underwent 47 orthopedic surgeries at a Level II Trauma Center. The type of orthopedic procedure, time since LVAD implantation, length of hospital stays, blood loss, need for transfusion, postoperative thromboembolic events, and discharge destination were evaluated. # Management and Outcomes Orthopedic surgery in LVAD patients appears to have longer lengths of hospital stay, greater need for blood transfusion, higher emergency department visits, higher readmission rates, and a greater need for rehabilitation assistance. # Conclusion Orthopaedic surgery in patients with LVAD appears riskier, however, it is possible and may be necessary, optimization and collaborative inter-disciplinary care is paramount to success.
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