A Systematic Review and Physiology of Pulmonary Artery Pulsatility Index in Left Ventricular Assist Device Therapy.

ABSTRACT:

Background

Right heart failure is a major complication following left ventricular assist device (LVAD) implantation. Pulmonary artery pulsatility index (PAPi) has been evaluated as a haemodynamic marker for right heart failure, but PAPi is dependent on pulmonary vascular resistance. We conducted a systematic review to assess the relationship between PAPi and right heart failure and death in patients undergoing LVAD implantation; and examined the relationship between PAPi cut-off and pulmonary vascular resistance.

Methods

We searched PubMed, EMBASE, CENTRAL and manually screened retrieved references to identify all clinical studies reporting PAPi in adult patients with a durable LVAD. Eligibility criteria were prespecified and two reviewers independently screened and extracte

SUBMITTER: Yim IHW 

PROVIDER: S-EPMC10203377 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature