BACKGROUND: Technologic advances and superior survival with mechanical circulatory support (MCS) have led to an expanding population that develops intraabdominal conditions requiring intervention. Whether laparoscopy can be performed without detrimental effects on hemodynamics and device function is not well described. MATERIALS AND METHODS: Effects of laparoscopy performed on MCS were retrospectively assessed. Intraoperative hemodynamics and device function were compared with the same time interval 24 hours prior to surgery using intrapatient paired t tests. Outcomes included survival, transfusion, @entity1031 events, and @entity281 . RESULTS: Twelve @entity1 with ventricular assist devices or total artificial hearts underwent laparoscopy from 2012 to 2014. Median follow-up was 116 days. Operations included cholecystectomy, diagnostic laparoscopy, gastrojejunostomy, and gastrostomy. There were no differences between preoperative and intraoperative mean arterial pressure, heart rate, and inotrope or vasopressor requirements (P   >   .05). Device fill volume, flow, rate, and power were unchanged (P   >   .05), whereas pulsatility index decreased by 0.2 (95% confidence interval, 0.03, 0.36) with laparoscopy (P   =   .03). All intraoperative fluctuations in hemodynamics and device function improved with @entity516 , adjusting device speed, or pharmacologic support. There were no operative mortalities. Thirty-day survival and survival to discharge were 75% and 50%, respectively. Despite antiplatelet therapy and preoperative international normalization ratio of 2.2        0.9, there were no re-operations for @entity548 , and 50% did not require transfusion. Two @entity1 with recent cardiac surgery had @entity1031 events: one @entity64 and one device @entity715 . None had postoperative @entity2259 or driveline @entity281 . CONCLUSIONS: Laparoscopy can be performed on MCS with low morbidity and mortality and minimal perturbations in hemodynamics and device function.

Hemodynamic Consequences of Laparoscopy for XXXX on Mechanical Circulatory Support.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolic'] @entity516 :: ('MESH:D011027', 'Disease') :: ['reduction of pneumoperitoneum'] @entity2259 :: ('MESH:D016470', 'Disease') :: ['bacteremia'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombus']
@entity1 :: (9606,Species) :: ['Patients']
