Continuous-Flow Left Ventricular Assist Device–Related Gastrointestinal Bleeding

Ju H. Kim, Donald F. Brophy, Keyur B. Shah

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

Continuous-flow (CF) left ventricular assist devices (LVADs) are a safe and durable therapeutic option for patients with advanced heart failure as a bridge to transplant or as destination therapy. Despite the remarkable technological advances in device design and increasing familiarity with the physiologic effects of CF, major complications such as gastrointestinal bleeding (GIB) continue to cause significant morbidity. The causes underlying CF-LVAD–related GIB are multifactorial. Accordingly, management strategies for CF-LVAD–related GIB encompass a wide range of therapeutic modalities. This article reviews the epidemiology, pathophysiology, risk factors, and treatment options for the management of this complex complication.

Original languageEnglish (US)
Pages (from-to)519-529
Number of pages11
JournalCardiology Clinics
Volume36
Issue number4
DOIs
StatePublished - Nov 1 2018

Keywords

  • Angiodysplasia
  • Gastrointestinal bleed
  • Left ventricular assist device
  • Octreotide

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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