Video capsule endoscopy is safe and effective in suspected small bowel bleeding among left ventricular assist device recipients

Itskoviz, David; Avraham, Ben; Banai, Hagar; Avni, Irit; Gal, Tuvia Ben; Dotan, Iris; Gal, Eyal

doi:10.1177/0391398818790205

Cited by 2 publications

(1 citation statement)

References 25 publications

(42 reference statements)

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“…Our case illustrates the importance of VCE to assist in the diagnosis of GI bleeding in pediatric VAD patients. In adult VAD patients, VCE is safe and effective, with diagnostic yields up to 80% ( 8 , 9 ). The main diagnostic advantage of VCE is its ability to diagnose small bowel bleeding sources given the difficulty viewing this area with endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Video Capsule Endoscopy in a Pediatric Patient With Hematemesis While on Ventricular Assist Device Support

et al. 2022

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We report the first case of video capsule endoscopy usage to diagnose gastrointestinal bleeding in a pediatric patient on a ventricular assist device. The outcomes of this case are consistent with the findings of reports in adult patients, showing no patient complications, no pacemaker or ventricular assist device interactions, and successful identification of a gastrointestinal source of bleeding. Use of video capsule endoscopy in this patient changed the management plan and eliminated the need for further invasive investigations highlighting the potential utility of this diagnostic method in this patient population.

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Section: Discussionmentioning

confidence: 99%

Video Capsule Endoscopy in a Pediatric Patient With Hematemesis While on Ventricular Assist Device Support

et al. 2022

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Characteristics and outcomes of gastrointestinal bleeding in patients with continuous‐flow left ventricular assist devices: A systematic review

et al. 2020

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Gastrointestinal bleeding (GIB) is a common adverse event after continuous‐flow left ventricular assist device (CF‐LVAD) implantation. We sought to evaluate patterns of GIB development and related outcomes in CF‐LVAD recipients. An electronic search was performed to identify all articles related to GIB in the setting of CF‐LVAD implantation. A total of 34 studies involving 1087 patients were pooled for analysis. Mean patient age was 60 years (95% CI 57‐64) and 24% (95% CI 21‐28%) were female. The mean time from CF‐LVAD implantation to the first GIB was 54 days (95% CI 24‐84) with 40% (95% CI 34‐45%) of patients having multiple episodes of GIB. Anemia was present in 75% (95% CI 41‐93%) and the most common etiology of bleeding was arteriovenous malformations (36% [95% CI 24‐50%]). The mean duration of follow‐up was 14.6 months (95% CI 6.9‐22.3) during which the all‐cause mortality rate was 21% (95% CI 12‐36%) and the mortality rate from GIB was 4% (95% CI 2‐9%). Thromboembolic events occurred in 32% (95% CI 22‐44%) of patients with an ischemic stroke rate of 16% (95% CI 3‐51%) and a pump thrombosis rate of 8% (95%CI 3‐22%). Heart transplantation was performed in 31% (95% CI 18‐47%) of patients, after which 0% (95% CI 0‐10%) experienced recurrent GIB. GIB is a major source of morbidity among CF‐LVAD recipients. While death due to GIB is rare, cessation of anticoagulation during treatment increases the risk of subsequent thrombotic events. Heart transplant in these patients appears to reliably resolve the risk of future GIB.

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Video capsule endoscopy is safe and effective in suspected small bowel bleeding among left ventricular assist device recipients

Abstract: Small bowel capsule endoscopy is safe and effective in the investigation of left ventricular assist device associated suspected small bowel bleeding.

Cited by 2 publications

References 25 publications

Video Capsule Endoscopy in a Pediatric Patient With Hematemesis While on Ventricular Assist Device Support

Video Capsule Endoscopy in a Pediatric Patient With Hematemesis While on Ventricular Assist Device Support

Characteristics and outcomes of gastrointestinal bleeding in patients with continuous‐flow left ventricular assist devices: A systematic review

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