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A Case of Successful Use of the “Anchoring Technique” for Percutaneous Treatment of Left Ventricular Assist Device Graft Occlusion
Left ventricular assist device (LVAD) obstruction can be a dramatic and life-threatening complication in patients with advanced heart failure (HF). Despite surgical redo is often required in these patients, it is associated with a high risk of periprocedural negative outcome. We report the case of a...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8879255/ https://www.ncbi.nlm.nih.gov/pubmed/35206629 http://dx.doi.org/10.3390/ijerph19042441 |
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author | Stio, Rocco Edoardo Montalto, Andrea Intorcia, Alfredo Polizzi, Vincenzo Feccia, Mariano Musto, Carmine Pennacchi, Mauro Paolucci, Luca Stumpo, Regina D’Avino, Emilio De Felice, Francesco Gabrielli, Domenico Musumeci, Francesco |
author_facet | Stio, Rocco Edoardo Montalto, Andrea Intorcia, Alfredo Polizzi, Vincenzo Feccia, Mariano Musto, Carmine Pennacchi, Mauro Paolucci, Luca Stumpo, Regina D’Avino, Emilio De Felice, Francesco Gabrielli, Domenico Musumeci, Francesco |
author_sort | Stio, Rocco Edoardo |
collection | PubMed |
description | Left ventricular assist device (LVAD) obstruction can be a dramatic and life-threatening complication in patients with advanced heart failure (HF). Despite surgical redo is often required in these patients, it is associated with a high risk of periprocedural negative outcome. We report the case of a 68-year-old male with a thrombotic stenosis of the LVAD proximal outflow-graft. Following Heart Team debate, a percutaneous intervention was planned during veno-arterial Extra Corporeal Membrane Oxygenation (ECMO) assistance. To achieve the needed catheter support, we used the “distal balloon anchoring technique” through the outflow-graft and managed to implant a covered stent, rapidly restoring the flow through the LVAD. The patient was discharged without further complications. Our case shows that, in selected cases, percutaneous treatment of LVAD obstructions can be feasible, especially using advanced techniques derived from the experiences in coronary interventions and under ECMO assistance. More cases and prospective studies are mostly needed to explore long-term patency of the LVADs and clinical outcomes in these high-risk patients. |
format | Online Article Text |
id | pubmed-8879255 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88792552022-02-26 A Case of Successful Use of the “Anchoring Technique” for Percutaneous Treatment of Left Ventricular Assist Device Graft Occlusion Stio, Rocco Edoardo Montalto, Andrea Intorcia, Alfredo Polizzi, Vincenzo Feccia, Mariano Musto, Carmine Pennacchi, Mauro Paolucci, Luca Stumpo, Regina D’Avino, Emilio De Felice, Francesco Gabrielli, Domenico Musumeci, Francesco Int J Environ Res Public Health Case Report Left ventricular assist device (LVAD) obstruction can be a dramatic and life-threatening complication in patients with advanced heart failure (HF). Despite surgical redo is often required in these patients, it is associated with a high risk of periprocedural negative outcome. We report the case of a 68-year-old male with a thrombotic stenosis of the LVAD proximal outflow-graft. Following Heart Team debate, a percutaneous intervention was planned during veno-arterial Extra Corporeal Membrane Oxygenation (ECMO) assistance. To achieve the needed catheter support, we used the “distal balloon anchoring technique” through the outflow-graft and managed to implant a covered stent, rapidly restoring the flow through the LVAD. The patient was discharged without further complications. Our case shows that, in selected cases, percutaneous treatment of LVAD obstructions can be feasible, especially using advanced techniques derived from the experiences in coronary interventions and under ECMO assistance. More cases and prospective studies are mostly needed to explore long-term patency of the LVADs and clinical outcomes in these high-risk patients. MDPI 2022-02-20 /pmc/articles/PMC8879255/ /pubmed/35206629 http://dx.doi.org/10.3390/ijerph19042441 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Stio, Rocco Edoardo Montalto, Andrea Intorcia, Alfredo Polizzi, Vincenzo Feccia, Mariano Musto, Carmine Pennacchi, Mauro Paolucci, Luca Stumpo, Regina D’Avino, Emilio De Felice, Francesco Gabrielli, Domenico Musumeci, Francesco A Case of Successful Use of the “Anchoring Technique” for Percutaneous Treatment of Left Ventricular Assist Device Graft Occlusion |
title | A Case of Successful Use of the “Anchoring Technique” for Percutaneous Treatment of Left Ventricular Assist Device Graft Occlusion |
title_full | A Case of Successful Use of the “Anchoring Technique” for Percutaneous Treatment of Left Ventricular Assist Device Graft Occlusion |
title_fullStr | A Case of Successful Use of the “Anchoring Technique” for Percutaneous Treatment of Left Ventricular Assist Device Graft Occlusion |
title_full_unstemmed | A Case of Successful Use of the “Anchoring Technique” for Percutaneous Treatment of Left Ventricular Assist Device Graft Occlusion |
title_short | A Case of Successful Use of the “Anchoring Technique” for Percutaneous Treatment of Left Ventricular Assist Device Graft Occlusion |
title_sort | case of successful use of the “anchoring technique” for percutaneous treatment of left ventricular assist device graft occlusion |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8879255/ https://www.ncbi.nlm.nih.gov/pubmed/35206629 http://dx.doi.org/10.3390/ijerph19042441 |
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