%0 Journal Article
%A Martínez Solano, Jorge
%A Ortiz Bautista, Carlos
%A Zatarain Nicolás, Eduardo
%A Sousa Casasnovas, Iago
%A Pedraz Prieto, Álvaro
%A Barrio Gutiérrez, Jose María
%A Pascual Izquierdo, María Cristina
%A Fernández-Avilés Díaz, Francisco Jesús
%T Management of Intracranial Hemorrhage During Pulsatile Long-Term Biventricular Support: When Necessity Is the Mother of Invention.
%D 2021
%U https://hdl.handle.net/20.500.14352/117562
%X Despite improvements in device design and hemocompatibility, intracranial hemorrhage and stroke remain the most feared and devastating complications in patients under mechanical circulatory support. We present the case of a 48-year-old man with advanced heart failure (INTERMACS 3) and severe biventricular dysfunction who underwent biventricular pulsatile paracorporeal device implantation (Berlin Heart Excor®) as a bridge to candidacy. While on the heart transplantation waiting list, the patient experienced an intracranial hemorrhage, which was successfully managed by switching to a less thrombogenic biventricular assist device (Levitronix Centrimag®) using the Excor® cannulae, thus enabling temporary withdrawal of antithrombotic therapy. Heart transplant was performed successfully with no significant complications.
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