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- W2921637112 abstract "Purpose Surgical explantation of left ventricular assist device (LVAD) is associated with risks of peri-operative complications. In this report, we aim to examine feasibility of percutaneous LVAD exclusion as an alternative to surgical LVAD explantation. Methods Retrospective review of institutional LVAD implants between 2011 to 2018 was performed; 3 patients underwent percutaneous LVAD exclusion. Subsequently, systematic review of all reported cases of percutaneous LVAD exclusion published in Pubmed/Medline from 2011 to 2018 was performed; 7 cases were identified. Results The percutaneous technique consisted of using Amplatz Vascular plug in proximal (average size: 16±3mm) and distal (average size: 16±3mm) portions of the outflow graft in our patients; graft occlusion was confirmed by injecting contrast and observing for reflux into the left ventricular cavity. Post procedure, the driveline was excised and the open end was closed with Gore-Tex. The percutaneous closure of outflow graft was successful in all patients with no peri-procedural complications. Table 1 details our experience and review of available cases. Conclusion Percutaneous LVAD exclusion is a minimally invasive, safe and an effective alternative to surgical LVAD explantation in select group of patients." @default.
- W2921637112 created "2019-03-22" @default.
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- W2921637112 date "2019-04-01" @default.
- W2921637112 modified "2023-09-23" @default.
- W2921637112 title "Safety and Efficacy of Percutaneous Ventricular Assist Device Exclusion; a Review of Ten Cases" @default.
- W2921637112 doi "https://doi.org/10.1016/j.healun.2019.01.883" @default.
- W2921637112 hasPublicationYear "2019" @default.
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