Implantable Ventricular Assist Device Use and Outcomes in People With End-Stage Renal Disease.

ABSTRACT:

Background

People with end-stage renal disease (ESRD) are at risk for advanced heart failure, but little is known about use and outcomes of durable mechanical circulatory support in this setting. We examined use and outcomes of implantable ventricular assist devices (VADs) in a national ESRD cohort.

Methods and results

We performed a retrospective cohort study of Medicare beneficiaries with ESRD who underwent implantable VAD placement from 2006 to 2014. We examined in-hospital and 1-year mortality, all-cause and cause-specific hospitalizations, and heart/kidney transplantation outcomes. We investigated as predictors demographic factors, time-period of VAD implantation, primary or post-cardiotomy implantation, and duration of ESRD before VAD implantation. We identified 96 peo

SUBMITTER: Walther CP 

PROVIDER: S-EPMC6064848 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature