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- W2117103650 abstract "Left ventricular assist devices (LVADs) are increasingly used to treat patients with advanced heart failure both as a Bridge-To-Cardiac Transplantation and Destination Therapy. Device thrombosis is a well-known complication of LVADs that can be potentially catastrophic if not diagnosed early and appropriately managed. We present a case of successful treatment of a suspected Heart Mate II thrombus with systemic thrombolysis and Eptifibatide in a patient who presented with signs and symptoms of acute decompensated heart failure and an ischemic stroke. We further compiled published case reports on acute thrombosis management in contemporary continuous flow LVADs, to discern various treatment approaches available for this serious complication. Published research on optimal anti-coagulation management strategy in the setting of acute device thrombosis is limited, primarily due to the size of this cohort but also due to the nuances involved in tracking such data. We would like to suggest that all potential device thrombosis cases and their management be reported to a registryor added to a existing registry such as INTERMCAS (Interagency Registry for Mechanically Assisted Circulatory Support), as thiswould not only enhance our understanding on this topic but also serve as a building block for future research and could be used to make evidence based management recommendations." @default.
- W2117103650 created "2016-06-24" @default.
- W2117103650 creator A5045665314 @default.
- W2117103650 date "2014-12-20" @default.
- W2117103650 modified "2023-10-18" @default.
- W2117103650 title "Successful Treatment of a Heart mate II Left Ventricular Assist Device Thrombus in the Setting of a Massive Acute Stroke: A Case Report and Review of the Literature" @default.
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- W2117103650 doi "https://doi.org/10.15406/jccr.2014.01.00038" @default.
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