所属 医学部 医学科（東京女子医科大学病院） 職種 教授
|発表タイトル||Relationship Long-term Renal Function Changes and Adverse Events after Implantation of a Centrifugal, Continuous-flow Left Ventricular Device|
|発表者・共同発表者||◎吉村麻未, 菊池規子, 鈴木敦, 志賀剛, 服部英敏, 西中知博, 齋藤聡, 新浪博, 萩原誠久, 布田伸一|
|概要||*Poster Session (Japanese) 59 Kidney 1
Background:Severe heart failure patients often have renal dysfunction (RD) due to low cardiac output. We often experience improvement of renal function and adverse events such as infection, heart failure, stroke, and so on, after left ventricular assist device (LVAD) implantation. However, it is not clear the impact of adverse events on long-term renal function changes.Methods and Results: 44 patients underwent a continuous-flow LVAD (EVAHEART) implantation at our institute between 2005 and 2018. We investigated the changes in renal function over 2 years among 41 patients with supported by EVAHEART over 6 months (Figure). Among patients with renal impairment at implantation, about half of patients had greater deterioration of renal function 2 years later, regardless of transient renal improvement after LVAD implantation. 28 patients (76%) experienced re-admission due to any adverse events during LVAD support. There is no relationship the incidence of each adverse events and RD at 2 years after LVAD implantation.Conclusion:There is no significant association RD and adverse events after implantation of LVAD.