Evidence map›Paper›PMID 36345681›Full record

ReviewJournal of cardiac surgery2022

Accelerated LVAD pump thrombosis in COVID-19 patient: Case report and mini review.

Ishaq J Wadiwala, Pankaj Garg, Mohammad Alomari, Mohamed S Elawady, Emad Alamouti-Fard, Lekhya Raavi, Nargis Mateen, Fazal Khan, Md Walid Akram Hussain, Si M Pham and 1 more

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in Journal of cardiac surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 48% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Ishaq J WadiwalaDepartment of Cardiothoracic Surgery Research Unit, Mayo Clinic, Jacksonville, Florida, USA.ORCID https://orcid.org/0000-0003-3478-2349
Pankaj GargDepartment of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida, USA.ORCID https://orcid.org/0000-0003-1569-6322
Mohammad AlomariDepartment of Cardiothoracic Surgery Research Unit, Mayo Clinic, Jacksonville, Florida, USA.
Mohamed S ElawadyDepartment of Cardiothoracic Surgery Research Unit, Mayo Clinic, Jacksonville, Florida, USA.
Emad Alamouti-FardDepartment of Cardiothoracic Surgery Research Unit, Mayo Clinic, Jacksonville, Florida, USA.
Lekhya RaaviDepartment of Cardiothoracic Surgery Research Unit, Mayo Clinic, Jacksonville, Florida, USA.
Nargis MateenDepartment of Cardiothoracic Surgery Research Unit, Mayo Clinic, Jacksonville, Florida, USA.
Fazal KhanDepartment of Cardiothoracic Surgery Research Unit, Mayo Clinic, Jacksonville, Florida, USA.
Md Walid Akram HussainDepartment of Cardiothoracic Surgery Research Unit, Mayo Clinic, Jacksonville, Florida, USA.
Si M PhamDepartment of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida, USA.ORCID https://orcid.org/0000-0001-7396-8344
Samuel JacobDepartment of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida, USA.
Jacksonville College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus (COVID-19) infection exposes patients with heart failure specially who are on mechanical support to a higher risk of morbidity and mortality.

aimsTo investigate the impact of COVID-19 infection on left ventricular assist device (LVAD) thrombosis in heart failure patients. MATERIALS &

methodsWe searched the medical electronic records, Medline, PubMed and Cochrane databases for; (LVAD) AND (thrombosis)) AND (covid-19)) AND (heart failure). We divided cases reported into, LVAD thrombosis with COVID-19 infection and compare them with LVAD thrombosis without COVID-19 infection. Demographic data, LVAD device, presentation, treatment and outcomes were reviewed in all the LVAD thrombosis patients.

resultsIn addition to our case, 8 other cases of LVAD thrombosis associated with COVID and 9 cases of LVAD thrombosis without covid infection were found. Patients with Covid infection had worse presentation and outcomes (3 deaths VS. 1 death in non-covid group). DISCUSSION: In LVAD patients, pump malfunction due to thrombus development in the inflow cannula, device body, or outflow graft can result in hemodynamic instability, hemolysis and other life-threatening complications. COVID infection significantly increases the risk of mortality in LVAD patient by accelerating the pump thrombosis due to elevated levels of endothelial protein C receptor and thrombomodulin along with procoagulants such as factor VIII, P-selectin, and von Willebrand factor.

conclusionSignificant morbidity and mortality are attributed to LVAD thrombosis, which are exasperated by prothrombotic conditions created in COVID-19 infections.

Indexed as

COVID-19Heart-Assist DevicesHeart FailureThrombosisHumansacceleratedCOVID-19heart failureLVAD thrombosisoutflow thrombosis

Identifiers

PMID36345681
PMCPMC9878257
OpenAlexW4308549792

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.