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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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.
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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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