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Intraventricular Free-Floating Thrombus in an Impella-Supported Patient: Damage Control in a No-Win Scenario

We describe the management and clinical decision making in a cardiogenic shock patient with a free-floating left ventricular thrombus found during temporary mechanical support with an Impella CP. The management of these patients can be challenging because there are no guidelines or data to support a...

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Detalles Bibliográficos
Autores principales: Nguyen, Dan, Ellison, David, Ngo, Christian, Steinberg, Zachary, Don, Creighton, Cheng, Richard K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302019/
https://www.ncbi.nlm.nih.gov/pubmed/34317374
http://dx.doi.org/10.1016/j.jaccas.2020.04.045
Descripción
Sumario:We describe the management and clinical decision making in a cardiogenic shock patient with a free-floating left ventricular thrombus found during temporary mechanical support with an Impella CP. The management of these patients can be challenging because there are no guidelines or data to support any particular treatment strategy. (Level of Difficulty: Intermediate.)