Management of Intracranial Hemorrhage During Pulsatile Long-Term Biventricular Support: When Necessity Is the Mother of Invention.

Autor:	Martínez-Solano J; From the Cardiology Department, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria (IiSGM), Madrid, Spain.; Spanish Network Centre on Cardiovascular Research (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.; Complutense University, School of Medicine, Madrid, Spain., Ortiz-Bautista C; From the Cardiology Department, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria (IiSGM), Madrid, Spain.; Spanish Network Centre on Cardiovascular Research (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.; Complutense University, School of Medicine, Madrid, Spain., Zatarain-Nicolás E; From the Cardiology Department, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria (IiSGM), Madrid, Spain.; Spanish Network Centre on Cardiovascular Research (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.; Complutense University, School of Medicine, Madrid, Spain., Sousa-Casasnovas I; From the Cardiology Department, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria (IiSGM), Madrid, Spain.; Spanish Network Centre on Cardiovascular Research (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.; Complutense University, School of Medicine, Madrid, Spain., Pedraz-Prieto Á; Cardiac Surgery Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Barrio-Gutiérrez JM; Anesthesiology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Pascual-Izquierdo C; Hematology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Fernández-Avilés F; From the Cardiology Department, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria (IiSGM), Madrid, Spain.; Spanish Network Centre on Cardiovascular Research (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.; Complutense University, School of Medicine, Madrid, Spain.
Jazyk:	angličtina
Zdroj:	ASAIO journal (American Society for Artificial Internal Organs : 1992) [ASAIO J] 2021 Oct 01; Vol. 67 (10), pp. e172-e175.
DOI:	10.1097/MAT.0000000000001353
Abstrakt:	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. Competing Interests: Disclosure: The authors have no conflicts of interest to report. (Copyright © ASAIO 2021.)
Databáze:	MEDLINE
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