| Literature DB >> 32840719 |
Adrian daSilva-deAbreu1,2,3, Kiran Garikapati4,5, Bader Aldeen Alhafez6, Sapna Desai4,5, Clement Eiswirth4,5, Selim Krim4,5, Hamang Patel4,5, Hector O Ventura4,5, Carl J Lavie4,5, Juan Francisco Loro-Ferrer7, Stacy A Mandras4,5.
Abstract
We analyzed in detail the outcomes of eight patients with ventricular assist devices (VADs) and obesity who underwent laparoscopic sleeve gastrectomy (LSG) at a single heart transplant (HT) center. This comprehensive analysis included body mass index (BMI) trends from VAD implantation to the time of LSG; BMI and percentage of excess BMI lost during follow-up; adverse outcomes; and changes in echocardiographic parameters, fasting lipids, unplanned hospitalizations, and functional status. We also identified the patients who achieved the following outcomes: listing for HT, HT, 50% excess BMI loss, and BMI < 35 kg/m2. Laparoscopic sleeve gastrectomy seems to be a reasonable and effective intervention to help patients with VADs and obesity to decrease excess BMI and become candidates for HT.Entities:
Keywords: Bariatric surgery; End-stage heart failure; Heart failure; Heart-assist devices; Laparoscopic sleeve gastrectomy; Sleeve gastrectomy; Ventricular assist devices
Mesh：
Year: 2020 PMID： 32840719 DOI： 10.1007/s11695-020-04948-9
Source DB: PubMed Journal: Obes Surg ISSN： 0960-8923 Impact factor: 4.129