A LEFT VENTRICULAR ASSIST DEVICE IS THE BEST TREATMENT METHOD FOR ELDERLY PATIENTS WITH ADVANCED HEART FAILURE.

BEYAZPINAR, Deniz Sarp; EROL, Mehmet Emir; AKPINAR, Denizhan; KARSLIOĞLU, Arif Okay; AKAY, Hakkı Tankut; SEZGIN, Atilla

Introduction: In end stage heart failure, cardiac transplantation is the gold standart treatment. But advance age (>65 years old) is one of the relative contrindication for cardiac trasnplantation. So these patients were left to their faith out of medical treatment. Material and Methods: Between april 2012 to december 2023, 98 left ventricular assit device implantation patients were retrospectively analysed. Patients divided into two group according to their ages (>65; <65 years old). Group were compared according to preoperative, perioperative and postoperative parameters. Results: The demographic datas, preoperative cardiac parameters, perioperative datas, postoperative datas and complication were similar according to statistically analyses. Statistically, the only difference between the groups is the day on which device thrombosis developed. Conclusion: Although the number of patients on the heart transplant list increases day by day, the number of donors does not increase. For this reason, advanced age is considered a relative contraindication for heart transplantation in many clinics. For this reason, the elderly patient group is left helpless apart from medical treatment. This study showed that left ventricular assist device therapy is a good alternative to transplantation in the group of patients sentenced to medical treatment.

HEART transplant recipients; OLDER patients; HEART failure patients; HEART transplantation; HEART assist devices; THERAPEUTICS

Turkish Journal of Geriatrics / Türk Geriatri Dergisi, 2024, Vol 27, Issue 4, p390

1304-2947

Academic Journal

10.29400/tjgeri.2024.412