Simultaneous Versus Interval Sleeve Gastrectomy on Patients Requiring Left Ventricular Assist Devices for End-stage Heart Failure: A Retrospective, Single-Center Cohort Study - Takeaways - MDSpire
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Comparative Analysis of Simultaneous and Interval Sleeve Gastrectomy in Patients with End-stage Heart Failure Dependent on Left Ventricular Assist Devices: A Retrospective Study from a Single Institution

  • By

  • Oscar Olavarria

  • Syed Naqvi

  • Luke Crawford

  • Melissa Felinski

  • Shinil Shah

  • Peter Walker

  • Marwan Jumean

  • Manish Patel

  • Ismael Salas

  • Jayeshkumar Patel

  • Kha Dinh

  • Sriram Nathan

  • Bindu Akkanti

  • Biswajit Kar

  • Igor Gregoric

  • Kulvinder Bajwa

  • September 22, 2026

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  • 1

    Heart transplantation is the gold standard for end-stage heart failure, but obesity often disqualifies patients from eligibility.

  • 2

    Bariatric surgery, particularly laparoscopic sleeve gastrectomy, is being explored to improve transplant candidacy in obese patients with LVADs.

  • 3

    This study compares simultaneous LVAD implantation and LSG versus interval LSG in patients with end-stage heart failure and obesity.

  • 4

    The primary outcome showed lower sleeve-related complications in the simultaneous LVAD/LSG group compared to the interval group (7.4% vs. 17.4%).

  • 5

    The study included 77 patients, with 54 undergoing simultaneous procedures and 23 having interval LSG after LVAD implantation.

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