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Laparoscopic Sleeve Gastrectomy in Patients with Obesity and Ventricular Assist Devices: a Comprehensive Outcome Analysis

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Abstract

We analyzed in detail the outcomes of eight patients with ventricular assist devices (VADs) and obesity who underwent laparoscopic sleeve gastrectomy (LSG) at a single heart transplant (HT) center. This comprehensive analysis included body mass index (BMI) trends from VAD implantation to the time of LSG; BMI and percentage of excess BMI lost during follow-up; adverse outcomes; and changes in echocardiographic parameters, fasting lipids, unplanned hospitalizations, and functional status. We also identified the patients who achieved the following outcomes: listing for HT, HT, 50% excess BMI loss, and BMI < 35 kg/m2. Laparoscopic sleeve gastrectomy seems to be a reasonable and effective intervention to help patients with VADs and obesity to decrease excess BMI and become candidates for HT.

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Acknowledgments

This article is part of the doctoral research thesis of Adrian daSilva-deAbreu, who is the principal investigator of this study and main author of this paper. All other authors commit to not using this publication as main part of their doctoral theses. However, this does not mean that this article cannot be used by the other authors as complement merit in their doctoral theses.

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Authors and Affiliations

  1. John Ochsner Heart and Vascular Institute, Ochsner Clinic Foundation, New Orleans, LA, USA

    Adrian daSilva-deAbreu, Kiran Garikapati, Sapna Desai, Clement Eiswirth, Selim Krim, Hamang Patel, Hector O. Ventura, Carl J. Lavie & Stacy A. Mandras

  2. The University of Queensland Ochsner Clinical School, Faculty of Medicine, The University of Queensland, New Orleans, LA, USA

    Adrian daSilva-deAbreu, Kiran Garikapati, Sapna Desai, Clement Eiswirth, Selim Krim, Hamang Patel, Hector O. Ventura, Carl J. Lavie & Stacy A. Mandras

  3. Doctoral School, Universidad de Las Palmas de Gran Canaria, Las Palmas, Spain

    Adrian daSilva-deAbreu & Juan Francisco Loro-Ferrer

  4. Department of Internal Medicine, The Ohio State University, Columbus, OH, USA

    Bader Aldeen Alhafez

Authors
  1. Adrian daSilva-deAbreu
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  2. Kiran Garikapati
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  3. Bader Aldeen Alhafez
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  4. Sapna Desai
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  5. Clement Eiswirth
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  6. Selim Krim
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  7. Hamang Patel
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  8. Hector O. Ventura
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  9. Carl J. Lavie
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  10. Juan Francisco Loro-Ferrer
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  11. Stacy A. Mandras
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Corresponding author

Correspondence to Adrian daSilva-deAbreu.

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Conflict of Interest

SAM is a paid speaker for United Therapeutics Corporation and Bayer. All other authors declare no conflicts of interest.

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For this type of study formal consent is not required.

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Informed Consent does not apply.

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daSilva-deAbreu, A., Garikapati, K., Alhafez, B.A. et al. Laparoscopic Sleeve Gastrectomy in Patients with Obesity and Ventricular Assist Devices: a Comprehensive Outcome Analysis. OBES SURG 31, 884–890 (2021). https://doi.org/10.1007/s11695-020-04948-9

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  • DOI: https://doi.org/10.1007/s11695-020-04948-9

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