Document Detail


Urgent exchange of a HeartMate II left ventricular assist device after percutaneous lead fracture.
MedLine Citation:
PMID:  19730010     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In four of our patients implanted with the HeartMate II left ventricular assist device (LVAD), fraying and fracture of the percutaneous lead's internal wires led to pump failure. The patients included two adolescent males (age, 15 and 17 years), one adult male (age, 78 years), and one adult female (age, 49 years). The damage was attributed to patient-related twisting or kinking of the lead. The patients had been supported by the LVAD for 6-18 months before the lead was damaged. In each case, audible and visual alarms were activated, and the pump temporarily continued to function well. The patients were rushed to the hospital, and the pumps were exchanged. All four patients recovered uneventfully and were discharged from the hospital 10-14 days later. They continued to do well on LVAD support for up to 639 days after the initial implant procedure. These events show the importance of educating LVAD patients to avoid excessive twisting or kinking of the device's driveline.
Authors:
Mehdi Jafar; Igor D Gregoric; Rajko Radovancevic; William E Cohn; Nichole McGuire; O H Frazier
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  ASAIO journal (American Society for Artificial Internal Organs : 1992)     Volume:  55     ISSN:  1538-943X     ISO Abbreviation:  ASAIO J.     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-09-04     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204109     Medline TA:  ASAIO J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  523-4     Citation Subset:  IM    
Affiliation:
Center for Cardiac Support, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77225-0345, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aged
Equipment Failure*
Female
Heart-Assist Devices / adverse effects*
Humans
Male
Middle Aged

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


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