{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:01:16Z","timestamp":1791975676236,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,10,22]],"date-time":"2019-10-22T00:00:00Z","timestamp":1571702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Over the last decade, there has been a significant increase in the use of percutaneous left ventricular assist devices(p\u2010LVADs). p\u2010LVADs are being increasingly used during complex coronary interventions and for acute cardiogenic shock. These large bore percutaneous devices have a higher risk of vascular complications. We examined the vascular complication rates from the use of p\u2010LVAD in a national database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a secondary analysis of the National In\u2010patient Sample (NIS) dataset from 2005 till 2015. We used the ICD\u20109\u2010CM procedure codes 37.68 and 37.62 for p\u2010LVAD placement regardless of indications. We investigated common vascular complications, defining them by the validated ICD 9 CM codes. <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> test and <jats:italic>t<\/jats:italic> test were used for categorical and continuous variables, respectively for comparison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 31,263 p\u2010LVAD placements were identified during the period studied. A majority of patients were male (72.68%) and 64.44% were white. The overall incidence of vascular complications was 13.53%, out of which 56% required surgical treatment. Acute limb thromboembolism and bleeding requiring transfusion accounted for 27.6% and 21.8% of all vascular complications. Occurrence of a vascular complication was associated with significantly higher in\u2010hospital mortality (37.77% vs. 29.95%, <jats:italic>p<\/jats:italic> &lt;\u2009.001), length of stay (22.7 vs. 12.2\u2009days, <jats:italic>p<\/jats:italic> &lt;\u2009.001) and cost of hospitalization ($ 161,923 vs. $ 95,547, <jats:italic>p<\/jats:italic> &lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is a high incidence of vascular complications with p\u2010LVAD placement including need for vascular surgery. These complications are associated with a higher in\u2010hospital, LOS and hospitalization costs. These findings should be factored into the decision\u2010making for p\u2010LVAD placement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28560","type":"journal-article","created":{"date-parts":[[2019,10,22]],"date-time":"2019-10-22T15:52:30Z","timestamp":1571759550000},"page":"309-316","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Vascular complications associated with percutaneous left ventricular assist device placement: A 10\u2010year US perspective"],"prefix":"10.1002","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0799-1922","authenticated-orcid":false,"given":"Nilay","family":"Patel","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Diseases University of Kansas Medical Center  Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshit","family":"Sharma","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases 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Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirk","family":"Hance","sequence":"additional","affiliation":[{"name":"Vascular Surgery Division University of Kansas Medical Center  Kansas City Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2440-9033","authenticated-orcid":false,"given":"Kamal","family":"Gupta","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases University of Kansas Medical Center  Kansas City 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