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Hemorrhoids screening and treatment prior to LVAD: is it a necessity?

Continuous-flow left ventricle assist devices (CF-LVADs) has become an essential modality in the management of stage D heart failure (HF) with significant improvement in survival and quality of life. Due to the durability of such devices and long term support complications such as bleeding and aorti...

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Autores principales: Skouri, Hadi, Shurrab, Mohammed, Zahnan, Jad, Deeba, Samer, Sfeir, Pierre, Gharzuddin, Walid, Haj-Yahia, Saleem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828895/
https://www.ncbi.nlm.nih.gov/pubmed/27067282
http://dx.doi.org/10.1186/s13019-016-0441-z
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author Skouri, Hadi
Shurrab, Mohammed
Zahnan, Jad
Deeba, Samer
Sfeir, Pierre
Gharzuddin, Walid
Haj-Yahia, Saleem
author_facet Skouri, Hadi
Shurrab, Mohammed
Zahnan, Jad
Deeba, Samer
Sfeir, Pierre
Gharzuddin, Walid
Haj-Yahia, Saleem
author_sort Skouri, Hadi
collection PubMed
description Continuous-flow left ventricle assist devices (CF-LVADs) has become an essential modality in the management of stage D heart failure (HF) with significant improvement in survival and quality of life. Due to the durability of such devices and long term support complications such as bleeding and aortic insufficiency has emerged. Bleeding accounts for more than 20 % with the majority being from the gastrointestinal tract. The increase of bleeding tendency are mainly attributed to the loss of large von Willebrand’s Factor (vWF) multimers due to shear stress with the chronic intake of anticoagulants. We are reporting two cases of patients with Stage D HF and history of hemorrhoids presenting for LVAD implantation. Many efforts that decrease bleeding related to CF-LVADs will be discussed with focus on hemorrhoids.
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spelling pubmed-48288952016-04-13 Hemorrhoids screening and treatment prior to LVAD: is it a necessity? Skouri, Hadi Shurrab, Mohammed Zahnan, Jad Deeba, Samer Sfeir, Pierre Gharzuddin, Walid Haj-Yahia, Saleem J Cardiothorac Surg Review Continuous-flow left ventricle assist devices (CF-LVADs) has become an essential modality in the management of stage D heart failure (HF) with significant improvement in survival and quality of life. Due to the durability of such devices and long term support complications such as bleeding and aortic insufficiency has emerged. Bleeding accounts for more than 20 % with the majority being from the gastrointestinal tract. The increase of bleeding tendency are mainly attributed to the loss of large von Willebrand’s Factor (vWF) multimers due to shear stress with the chronic intake of anticoagulants. We are reporting two cases of patients with Stage D HF and history of hemorrhoids presenting for LVAD implantation. Many efforts that decrease bleeding related to CF-LVADs will be discussed with focus on hemorrhoids. BioMed Central 2016-04-12 /pmc/articles/PMC4828895/ /pubmed/27067282 http://dx.doi.org/10.1186/s13019-016-0441-z Text en © Skouri et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Skouri, Hadi
Shurrab, Mohammed
Zahnan, Jad
Deeba, Samer
Sfeir, Pierre
Gharzuddin, Walid
Haj-Yahia, Saleem
Hemorrhoids screening and treatment prior to LVAD: is it a necessity?
title Hemorrhoids screening and treatment prior to LVAD: is it a necessity?
title_full Hemorrhoids screening and treatment prior to LVAD: is it a necessity?
title_fullStr Hemorrhoids screening and treatment prior to LVAD: is it a necessity?
title_full_unstemmed Hemorrhoids screening and treatment prior to LVAD: is it a necessity?
title_short Hemorrhoids screening and treatment prior to LVAD: is it a necessity?
title_sort hemorrhoids screening and treatment prior to lvad: is it a necessity?
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828895/
https://www.ncbi.nlm.nih.gov/pubmed/27067282
http://dx.doi.org/10.1186/s13019-016-0441-z
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