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Nicholas C. Dang
Timothy P. Martens
Faisal H. Cheema
Michael Argenziano
Yoshifumi Naka
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J Thorac Cardiovasc Surg 2005;130:881-882
© 2005 The American Association for Thoracic Surgery

Brief Communication

Bridging to transplantation with left ventricular assist devices: Outcomes in patients aged 60 years and older

Veli K. Topkara, MD, Nicholas C. Dang, MD, Timothy P. Martens, MD, Faisal H. Cheema, MD, Judy F. Liu, BA, Michael Argenziano, MD, Yoshifumi Naka, MD, PhD *

Department of Cardiothoracic Surgery, College of Physicians and Surgeons, Columbia University, New York, NY.

Received for publication March 2, 2005; accepted for publication March 7, 2005.

* Address for reprints: Yoshifumi Naka, MD, PhD, Herbert Irving Assistant Professor of Surgery, Columbia University, College of Physicians and Surgeons, Director, Mechanical Circulatory Support Program, New York-Presbyterian Hospital, Columbia University Medical Center, 177 Fort Washington Ave, Milstein Hospital 7GN-435, New York, NY 10032 (Email: yn33@columbia.edu).

The first 20% of the full text of this article appears below.

With the rapid growth in the elderly segment of the population, an increasing number of older patients will have end-stage heart failure and require cardiac surgery. 1 Go The demographic of patients undergoing left ventricular assist device (LVAD) implantation is expected to shift toward older and sicker patients in parallel. This study was designed to determine the effect of advanced age on postimplantation complications, bridge-to-transplantation rates, and posttransplantation survival in LVAD recipients.

Patients and Methods

Two hundred one patients undergoing LVAD implantation at a single center from July 1996 through April 2004 were retrospectively reviewed. Patients were categorized according to 3 age cohorts: group 1, less than 40 years; group 2, 40 to 59 years; and group 3, 60 years or older. These groups were then compared with regard to baseline characteristics, LVAD scores, 2 Go postoperative complications, bridge-to-transplantation rates, and posttransplantation survival.

Data were represented as frequency distributions and percentages. Values of continuous variables were expressed as . . . [Full Text of this Article]






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