Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device

John H. Rosenberg; Kevin L. Garvin; Curtis W. Hartman; Beau S. Konigsberg

doi:10.1016/j.artd.2022.07.021

Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device

John H. Rosenberg, Kevin L. Garvin, Curtis W. Hartman, Beau S. Konigsberg

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Left ventricular assist devices (LVADs) may be used as bridge therapy or destination therapy in heart failure patients. Total joint arthroplasty may improve the functional status of patients limited by arthritis. This retrospective case series evaluated patients with an implanted LVAD who underwent a total joint arthroplasty at 1 institution from 2012 to present. Five patients underwent 12 surgeries with 7 primary arthroplasties and 5 revisions. Their mortality, length of stay, coagulopathic events, incidence of infection or revision arthroplasty, and heart transplantation were evaluated, and is the largest study to date of this population. Two patients expired from thrombotic events while 3 progressed to heart transplantation. Joint arthroplasty is feasible in patients with an implanted LVAD with expected risk and perioperative multidisciplinary collaboration.

Original language	English (US)
Article number	101005
Journal	Arthroplasty Today
Volume	19
DOIs	https://doi.org/10.1016/j.artd.2022.07.021
State	Published - Feb 2023

Keywords

Heart transplantation
Hip
Knee
LVAD

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

Access to Document

10.1016/j.artd.2022.07.021

Cite this

@article{f7c8d15d5e0f42ccbee35dfc2b1977cb,

title = "Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device",

abstract = "Left ventricular assist devices (LVADs) may be used as bridge therapy or destination therapy in heart failure patients. Total joint arthroplasty may improve the functional status of patients limited by arthritis. This retrospective case series evaluated patients with an implanted LVAD who underwent a total joint arthroplasty at 1 institution from 2012 to present. Five patients underwent 12 surgeries with 7 primary arthroplasties and 5 revisions. Their mortality, length of stay, coagulopathic events, incidence of infection or revision arthroplasty, and heart transplantation were evaluated, and is the largest study to date of this population. Two patients expired from thrombotic events while 3 progressed to heart transplantation. Joint arthroplasty is feasible in patients with an implanted LVAD with expected risk and perioperative multidisciplinary collaboration.",

keywords = "Heart transplantation, Hip, Knee, LVAD",

author = "Rosenberg, {John H.} and Garvin, {Kevin L.} and Hartman, {Curtis W.} and Konigsberg, {Beau S.}",

note = "Publisher Copyright: {\textcopyright} 2022 The Authors",

year = "2023",

month = feb,

doi = "10.1016/j.artd.2022.07.021",

language = "English (US)",

volume = "19",

journal = "Arthroplasty Today",

issn = "2352-3441",

publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device

AU - Rosenberg, John H.

AU - Garvin, Kevin L.

AU - Hartman, Curtis W.

AU - Konigsberg, Beau S.

PY - 2023/2

Y1 - 2023/2

N2 - Left ventricular assist devices (LVADs) may be used as bridge therapy or destination therapy in heart failure patients. Total joint arthroplasty may improve the functional status of patients limited by arthritis. This retrospective case series evaluated patients with an implanted LVAD who underwent a total joint arthroplasty at 1 institution from 2012 to present. Five patients underwent 12 surgeries with 7 primary arthroplasties and 5 revisions. Their mortality, length of stay, coagulopathic events, incidence of infection or revision arthroplasty, and heart transplantation were evaluated, and is the largest study to date of this population. Two patients expired from thrombotic events while 3 progressed to heart transplantation. Joint arthroplasty is feasible in patients with an implanted LVAD with expected risk and perioperative multidisciplinary collaboration.

AB - Left ventricular assist devices (LVADs) may be used as bridge therapy or destination therapy in heart failure patients. Total joint arthroplasty may improve the functional status of patients limited by arthritis. This retrospective case series evaluated patients with an implanted LVAD who underwent a total joint arthroplasty at 1 institution from 2012 to present. Five patients underwent 12 surgeries with 7 primary arthroplasties and 5 revisions. Their mortality, length of stay, coagulopathic events, incidence of infection or revision arthroplasty, and heart transplantation were evaluated, and is the largest study to date of this population. Two patients expired from thrombotic events while 3 progressed to heart transplantation. Joint arthroplasty is feasible in patients with an implanted LVAD with expected risk and perioperative multidisciplinary collaboration.

KW - Heart transplantation

KW - Hip

KW - Knee

KW - LVAD

UR - http://www.scopus.com/inward/record.url?scp=85143127486&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85143127486&partnerID=8YFLogxK

U2 - 10.1016/j.artd.2022.07.021

DO - 10.1016/j.artd.2022.07.021

M3 - Article

C2 - 36483330

AN - SCOPUS:85143127486

SN - 2352-3441

VL - 19

JO - Arthroplasty Today

JF - Arthroplasty Today

M1 - 101005

ER -

Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this