Outflow Graft Obstruction Treated With Transcatheter Management: A Novel Therapy for a New Diagnosis.
other · Level V
Where this comes from
- Record sourced from PubMed, PMID 28007258.
- Also identified by DOI 10.1016/j.athoracsur.2016.07.031.
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Abstract
The duration of support in patients with HeartMate II implantation as a bridge to transplant or as destination therapy is rising. As clinical experience continues to grow, physiologic changes contributing to pump malfunction are becoming apparent. Once malfunction is noted with increased power spikes, rises in lactate dehydrogenase and low-flow alarms, thrombosis of the pump is at risk. We describe outflow graft compression and offer an expeditious and definitive management strategy. Our novel management stenting strategy for outflow graft compression will continue to evolve as experience is gained.
Medical subject headings
- Cardiac Catheterization
- Cardiac Surgical Procedures
- Heart-Assist Devices
- Ventricular Dysfunction, Left