# FLAVOUR Study: FLow profiles And postoperative VasOplegia after continUous-flow left ventriculaR assist device implantation

## TL;DR

This study examines how different types of heart assist devices affect the occurrence of postoperative vasoplegia and patient recovery after implantation.

## Contribution

The study compares the incidence of vasoplegia and recovery outcomes among different left ventricular assist devices with varying flow profiles.

## Key findings

- Vasoplegia occurred in 25.3% of patients overall, with the highest rate in the axial flow group.
- The CFAP group had the shortest ICU and hospital stays and the lowest 1-year mortality.
- Flow profile was not an independent predictor of vasoplegia after statistical analysis.

## Abstract

This study aims to associate the incidence of postoperative vasoplegia and short-term survival to the implantation of various left ventricular assist devices differing in hemocompatibility and flow profiles. The overall incidence of vasoplegia was 25.3% (73/289 patients) and 30.3% (37/122), 25.0% (18/72), and 18.9% (18/95) in the axial flow (AXF), centrifugal flow (CF), and centrifugal flow with artificial pulse (CFAP) group, respectively. Vasoplegia was associated with longer intensive care (ICU) and hospital length of stay (LOS) and mortality. ICU and in-hospital LOS and 1-year mortality were the lowest in the CFAP group. Post hoc analysis resulted in a p-value of 0.43 between AXF and CF; 0.35 between CF and CFAP; and 0.06 between AXF and CFAP. Although there is a trend in diminished incidence of vasoplegia, pooled logistic regression using flow profile and variables that remained after feature selection showed that flow profile was not an independent predictor for postoperative vasoplegia.

The online version contains supplementary material available at 10.1007/s12265-023-10476-5.