A low-dose thrombolytic infusion protocol for safe and successful treatment of left ventricular assist device thrombosis: a case series.

Case series Complications LVAD thrombosis Thrombolytic

Journal

European heart journal. Case reports
ISSN: 2514-2119
Titre abrégé: Eur Heart J Case Rep
Pays: England
ID NLM: 101730741

Informations de publication

Date de publication:
Jan 2024
Historique:
received: 27 02 2023
revised: 04 12 2023
accepted: 02 01 2024
medline: 22 1 2024
pubmed: 22 1 2024
entrez: 22 1 2024
Statut: epublish

Résumé

Pump thrombosis is a serious complication of continuous-flow left ventricular assist device (CF-LVAD) therapy. In this study, we aim to report a novel protocol of an intermittent, low-dose, and slow infusion of tissue plasminogen activator (alteplase). We treated seven LVAD pump thrombosis events (HeartMate A low-dose, prolonged, and systemic thrombolytic infusion protocol is an effective and relatively safe treatment that can lead to a sustained resolution of pump thrombosis with low bleeding complications and failure rates.

Sections du résumé

Background UNASSIGNED
Pump thrombosis is a serious complication of continuous-flow left ventricular assist device (CF-LVAD) therapy. In this study, we aim to report a novel protocol of an intermittent, low-dose, and slow infusion of tissue plasminogen activator (alteplase).
Case summary UNASSIGNED
We treated seven LVAD pump thrombosis events (HeartMate
Discussion UNASSIGNED
A low-dose, prolonged, and systemic thrombolytic infusion protocol is an effective and relatively safe treatment that can lead to a sustained resolution of pump thrombosis with low bleeding complications and failure rates.

Identifiants

pubmed: 38249117
doi: 10.1093/ehjcr/ytae001
pii: ytae001
pmc: PMC10799658
doi:

Types de publication

Case Reports

Langues

eng

Pagination

ytae001

Informations de copyright

© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.

Déclaration de conflit d'intérêts

Conflict of interest: A.A., R.G., M.W.C., V.C., S.L., W.I. K., and K.C. declare no conflict of interest. ‘All authors take responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.’

Auteurs

Ramakrishna Gorantla (R)

Division of Cardiology, Department of Medicine, Lutheran Hospital, Fort Wayne, IN, USA.
Division of Cardiology, Department of Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA.

Aiham Albaeni (A)

Division of Cardiology, Department of Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA.

Muhammad W Choudhry (MW)

Division of Cardiology, Department of Medicine, St Joseph Medical Center, Stockton, CA, USA.

Vincent Conti (V)

Division of Cardiothoracic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, TX, USA.

Scott Lick (S)

Division of Cardiothoracic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, TX, USA.

Wissam I Khalife (WI)

Division of Cardiology, Department of Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA.

Khaled Chatila (K)

Division of Cardiology, Department of Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA.

Classifications MeSH