Catheter-based embolectomy prior to right ventricular mechanical circulatory support placement after heart transplantation

被引:1
|
作者
Jagadeesan, Vikrant S. [1 ]
Davidson, Laura J. [1 ]
Churyla, Andrei [1 ]
Benzuly, Keith H. [1 ]
机构
[1] Northwestern Univ, Northwestern Mem Hosp, Bluhm Cardiovasc Inst, Feinberg Sch Med, Chicago, IL 60611 USA
来源
ESC HEART FAILURE | 2020年 / 7卷 / 05期
关键词
Thrombectomy; Mechanical circulatory support; Cardiogenic shock; Transplantation; DEVICE;
D O I
10.1002/ehf2.12948
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Severe acute isolated right ventricular failure has limited dedicated percutaneous temporary mechanical circulatory support options, especially after orthotopic heart transplantation. The advent of the Impella RP device provides a newer option, though an absolute contraindication to device placement is thrombus within the right heart. We present a novel case where catheter-based embolectomy was used to evacuate right heart thrombus before Impella RP placement in a patient with severe acute right ventricular failure due to primary graft dysfunction after orthotopic heart transplantation.
引用
收藏
页码:3215 / 3218
页数:4
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