Success of Thrombectomy in Management of Ischemic Stroke in Two Patients with SynCardia Total Artificial Heart in Bridge-to-Transplantation

Autor: Brendan Le Picault, Charles-Henri David, Pierre-Louis Alexandre, Cédric Lenoble, Philippe Bizouarn, Thierry Lepoivre, Nicolas Groleau, Bertrand Rozec, Hubert Desal, Jean-Christian Roussel, Thomas Sénage
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Bioengineering, Vol 8, Iss 9, p 126 (2021)
Druh dokumentu: article
ISSN: 2306-5354
DOI: 10.3390/bioengineering8090126
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.
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