OBJECTIVES: Right @entity712 still occurs in up to 20% of @entity1 after implantation of a left ventricular assist device (LVAD). One treatment option for these @entity1 is the implantation of a temporary right ventricular assist device (RVAD). Experimental data suggest that non-pulsatile perfusion of the lungs is associated with an increased rate of @entity548 . The aim of this study was to determine the incidence of @entity358 in these @entity1 . DESIGN: Observational study. SETTING: Single center, university hospital. @entity1 : This study included @entity1 undergoing LVAD implantation for end-stage @entity712 and subsequent implantation of a temporary right ventricular support system. INTERVENTIONS: In this study, 25 @entity1 who underwent LVAD and additional temporary RVAD implantation were screened for @entity358 . MEASUREMENTS AND MAIN RESULTS: The mean Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) level at the time of LVAD implantation was 2.84. All @entity1 experienced severe @entity67 (tricuspid annular plane systolic excursion [TAPSE], 10.16  26.3 mm) and severe @entity120 (right atrial [RA] pressure, 56.21  15.58 mmHg). Average duration of right ventricular support was 11.12  7.20 days, with right ventricular support being administered to 14 @entity1 for more than 7 days. Seventeen @entity1 were weaned successfully from right ventricular support after a mean support duration of 5 days. Five @entity1 developed @entity358 , diagnosed using computed tomography scan and bronchoscopy. All @entity548 occurred after postoperative day 7 and was associated with RVAD flow of more than 4 L/min within 24 hours before @entity548 occurred. CONCLUSIONS: The data presented in this study suggested that right ventricular support for more than 7 days and a blood flow greater than 4 L/min were associated with @entity358 . This should be taken into consideration when temporary right ventricular support after LVAD implantation is planned.

XXXX During Right Ventricular Support After Left Ventricular Assist Device Implantation.

@entity1 :: ('9606', 'Species') :: ['patients', 'PARTICIPANTS'] @entity712 :: ('MESH:D006333', 'Disease') :: ['heart failure'] @entity548 :: ('MESH:D006470', 'Disease') :: ['pulmonary hemorrhage', 'bleeding'] @entity120 :: ('MESH:D006976', 'Disease') :: ['pulmonary hypertension'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary bleeding complications'] @entity67 :: ('MESH:D018754', 'Disease') :: ['right ventricular failure']
@entity548 :: (MESH:D006470,Disease) :: ['Pulmonary Bleeding']
