作者
Sameer Islam, Cihan Cevik, Rosalinda Madonna, Wesam Frandah, Ebtesam Islam, Sherazad Islam, Kenneth Nugent
发表日期
2013/4
来源
Clinical cardiology
卷号
36
期号
4
页码范围
190-200
出版商
Wiley Periodicals, Inc.
简介
Background
The use of left ventricular assist devices (LVADs) has become a state‐of‐the‐art therapy for advanced cardiac heart failure; however, multiple reports in the literature describe an increased risk for gastrointestinal (GI) bleeding in these patients. We characterized this association by reviewing recent studies on this topic.
Hypothesis
GI bleeding occurs frequently in patients with LVADs, especially with devices with nonpulsatile flow patterns.
Methods
We performed a comprehensive literature review to identify articles that reported GI bleeding in patients with LVADs. Databases used included PubMed, EMBASE, Scopus, Web of Knowledge, and Ovid. Baseline and outcome data were then ed from these reports.
Results
We identified 10 case reports and 22 case series with 1543 patients. The mean age was 54.2 years. Most patients had nonpulsatile LVADs (1316, 85.3%). Three hundred and seventeen …
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