Success of Thrombectomy in Management of Ischemic Stroke in Two Patients with SynCardia Total Artificial Heart in Bridge-to-Transplantation
| Autor: | Cédric Lenoble, Philippe Bizouarn, Nicolas Groleau, Bertrand Rozec, Charles-Henri David, Brendan Le Picault, Thomas Senage, Hubert Desal, Thierry Lepoivre, Pierre-Louis Alexandre, Jean-Christian Roussel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Technology QH301-705.5 Population Case Report Bioengineering bridge-to-transplant law.invention law Artificial heart Internal medicine Total Artificial Heart ischemic stroke Medicine Biology (General) education education.field_of_study business.industry Ischemic strokes SynCardia Mechanical thrombectomy thrombectomy Hemorrhagic complication Ischemic stroke Circulatory system TAH Cardiology Bridge to transplantation business |
| Zdroj: | Bioengineering, Vol 8, Iss 126, p 126 (2021) Bioengineering |
| ISSN: | 2306-5354 |
| Popis: | Introduction: Circulatory assistance from a SynCardia Total Artificial Heart (SynCardia-TAH) is a reliable bridge-to-transplant solution for patients with end-stage biventricular heart failure. Ischemic strokes affect about 10% of patients with a SynCardia-TAH. We report for the first time in the literature two successful thrombectomies to treat the acute phase of ischemic stroke in two patients treated with a SynCardia-TAH in the bridge-to-transplant (BTT). Case report: We follow two patients with circulatory support from a SynCardia-TAH in the bridge-to-transplant for terminal biventricular cardiac failure with ischemic stroke during the support period. An early in-hospital diagnosis enables the completion of a mechanical thrombectomy within the first 6 h of the onset of symptoms. There was no intracranial hemorrhagic complication during or after the procedure and the patients fully recovered from neurological deficits, allowing a successful heart transplant. Conclusion: This case report describes the possibility of treating ischemic strokes under a SynCardia-TAH by mechanical thrombectomy following the same recommendations as for the general population with excellent results and without any hemorrhagic complication during or after the procedure. |
| Databáze: | OpenAIRE |
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