Document Detail


Thromboembolic complications during weaning from right ventricular assist device support.
MedLine Citation:
PMID:  19608801     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report on two patients who experienced life-threatening thromboembolic complications during prolonged weaning from Levitronix CentriMag right ventricular assist device support. Right ventricular assist device flow in both patients was reduced below 2 L/min for a period of 72 or 36 h to closely monitor patients' hemodynamics and echocardiography because the extent of right ventricular recovery was difficult to assess. Thrombus formation occurred despite adjusting the heparin dosage to achieve partial prothrombin time values between 60 and 70 s. Periods of reduced flow during Levitronix CentriMag support must be kept short, and an additional bolus dose of heparin should be considered.
Authors:
Corinna Velik-Salchner; Christoph Hoermann; Daniel Hoefer; Josef Margreiter; Peter Mair
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  109     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-17     Completed Date:  2009-07-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  354-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020 Innsbruck, Austria. corinna.velik@i-med.ac.a
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / complications,  therapy
Coronary Artery Bypass
Female
Heart Failure / therapy
Heart-Assist Devices / adverse effects*
Humans
Middle Aged
Mitral Valve Insufficiency / complications,  therapy
Myocardial Infarction / complications,  therapy
Partial Thromboplastin Time
Platelet Count
Shock, Cardiogenic / complications,  therapy
Thromboembolism / etiology*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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