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ASAIO J ; 67(10): e172-e175, 2021 10 01.
Article in English | MEDLINE | ID: mdl-33528165

ABSTRACT

Despite improvements in device design and hemocompatibility, intracranial hemorrhage and stroke remain the most feared and devastating complications in patients under mechanical circulatory support. We present the case of a 48 year old man with advanced heart failure (INTERMACS 3) and severe biventricular dysfunction who underwent biventricular pulsatile paracorporeal device implantation (Berlin Heart Excor) as a bridge to candidacy. Although on the heart transplantation waiting list, the patient experienced an intracranial hemorrhage, which was successfully managed by switching to a less thrombogenic biventricular assist device (Levitronix Centrimag) using the Excor cannulae, thus enabling temporary withdrawal of antithrombotic therapy. Heart transplant was performed successfully with no significant complications.


Subject(s)
Heart Failure , Heart Transplantation , Heart-Assist Devices , Heart Failure/surgery , Heart Transplantation/adverse effects , Heart-Assist Devices/adverse effects , Humans , Intracranial Hemorrhages/etiology , Inventions , Male , Middle Aged , Treatment Outcome
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