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Gastrointestinal bleeding on continuous-flow left ventricular assist device therapy

dc.contributor.authorHammer, Yoav
dc.contributor.authorBitar, Abbas
dc.contributor.authorAaronson, Keith D.
dc.date.accessioned2023-08-01T18:28:44Z
dc.date.available2024-09-01 14:28:44en
dc.date.available2023-08-01T18:28:44Z
dc.date.issued2023-08
dc.identifier.citationHammer, Yoav; Bitar, Abbas; Aaronson, Keith D. (2023). "Gastrointestinal bleeding on continuous-flow left ventricular assist device therapy." ESC Heart Failure 10(4): 2214-2224.
dc.identifier.issn2055-5822
dc.identifier.issn2055-5822
dc.identifier.urihttps://hdl.handle.net/2027.42/177406
dc.description.abstractWhile technological advances in the field of continuous-flow left ventricular assist device (CF-LVAD) are constantly being made, CF-LVAD recipients are still subjected to a relatively high rate of LVAD-related adverse events, with post-LVAD gastrointestinal bleeding (GIB) being the most common one. GIB is associated with a significant impairment in quality of life, multiple hospital admissions, blood transfusion requirements and possibly death. Furthermore, of those patients who bled once, many will experience recurrent GIB events, which further aggravates their discomfort. While some medical and endoscopic treatment options are available, evidence regarding their benefit remains largely equivocal, with all related studies based on data from registries rather than clinical trials. Although having a major impact on LVAD recipients, an effective and validated pre-implant screening options to predict GIB events post-implant are scarce. This review focuses on the aetiology, incidence, risk factors, treatment options and the effect of new generation devices on post-LVAD GIB.
dc.publisherWiley Periodicals, Inc.
dc.subject.otherGastrointestinal bleeding
dc.subject.otherArteriovenous malformations
dc.subject.otherContinuous-flow left ventricular assist device
dc.subject.otherHeartmate 3
dc.titleGastrointestinal bleeding on continuous-flow left ventricular assist device therapy
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelCardiovascular Medicine
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/177406/1/ehf214433_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/177406/2/ehf214433.pdf
dc.identifier.doi10.1002/ehf2.14433
dc.identifier.sourceESC Heart Failure
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