A Redo Percutaneous Emergency Intervention of Left Ventricular Assist Device Graft Occlusion.
heart failure
left ventricular assist device
percutaneous coronary intervention
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
14 05 2022
14 05 2022
Historique:
received:
07
04
2022
revised:
11
05
2022
accepted:
12
05
2022
entrez:
28
5
2022
pubmed:
29
5
2022
medline:
1
6
2022
Statut:
epublish
Résumé
In patients with advanced heart failure (HF), left ventricular assist devices (LVADs) have demonstrated to be effective in improving the quality of life and reducing further hospitalizations. Although uncommon, LVAD outflow graft obstruction (OGO) is a potentially life-threatening complication and percutaneous treatment has been proposed as a standard intervention strategy in such cases. We report the case of a 69 year old man admitted due to LVAD failure causing unstable HF. Past medical history included percutaneous intervention on the outflow graft with stent implantation one year before. The patient was under chronic treatment with vitamin K antagonists (VKA). Emergent percutaneous angiography was performed, showing recurrent OGO due to thrombosis located at a kinking site, distally to the previously treated segment. Using distal anchoring technique, a balloon-expandable 10 × 79 mm endoprosthesis (GORE
Identifiants
pubmed: 35627512
pii: ijerph19105976
doi: 10.3390/ijerph19105976
pmc: PMC9140931
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
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