FLAVOUR Study: FLow profiles And postoperative VasOplegia after continUous-flow left ventriculaR assist device implantation

Journal of Cardiovascular Translational Research, vol. 17, pp. 252–264

Abstract

This study aims to associate the incidence of postoperative vasoplegia and short-term survival to the implantation of various left ventricular assist devices differing in hemocompatibility and flow profiles. The overall incidence of vasoplegia was 25.3% (73/289 patients) and 30.3% (37/122), 25.0% (18/72), and 18.9% (18/95) in the axial flow (AXF), centrifugal flow (CF), and centrifugal flow with artificial pulse (CFAP) group, respectively. Vasoplegia was associated with longer intensive care (ICU) and hospital length of stay (LOS) and mortality. ICU and in-hospital LOS and 1-year mortality were the lowest in the CFAP group. Post hoc analysis resulted in a p-value of 0.43 between AXF and CF; 0.35 between CF and CFAP; and 0.06 between AXF and CFAP. Although there is a trend in diminished incidence of vasoplegia, pooled logistic regression using flow profile and variables that remained after feature selection showed that flow profile was not an independent predictor for postoperative vasoplegia.

Authors 9

1. Bas J. Kersten

   University Medical Center Utrecht

   Affiliation as printed

   Department of Anesthesiology, University Medical Center Utrecht, Post Office Box 85500, 3508, Utrecht, GA, Netherlands

2. Lieke Numan

   University Medical Center Utrecht

   Affiliation as printed

   Department of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands

3. Marnix M. van der Schoot Aachen Department of Anesthesiology, Leiden University Medical Center

   Leiden University Medical Center

   Affiliation as printed

   Department of Anesthesiology, Leiden University Medical Center, Leiden, Netherlands

4. Michel de Jong

   University Medical Center Utrecht

   Affiliation as printed

   Heartbeat Perfusion, University Medical Center Utrecht, Utrecht, Netherlands

5. Faiz Z. Ramjankhan

   University Medical Center Utrecht

   Affiliation as printed

   Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, Netherlands

6. Emmeke Aarts

   Utrecht University

   Affiliation as printed

   Department of Methodology and Statistics, Utrecht University, Utrecht, Netherlands

7. Marish I.F.J. Oerlemans

   University Medical Center Utrecht

   Affiliation as printed

   Department of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands

8. Linda Wilhelmina Van Laake

   University Medical Center Utrecht

   Affiliation as printed

   Department of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands

9. Eric E.C. de Waal corresponding

   University Medical Center Utrecht

   Affiliation as printed

   Department of Anesthesiology, University Medical Center Utrecht, Post Office Box 85500, 3508, Utrecht, GA, Netherlands. e.e.c.dewaal@umcutrecht.nl

   Department of Anesthesiology, University Medical Center Utrecht, Post Office Box 85500, 3508, Utrecht, GA, Netherlands