RT Journal Article
T1 Management of Intracranial Hemorrhage During Pulsatile Long-Term Biventricular Support: When Necessity Is the Mother of Invention.
A1 Martínez Solano, Jorge
A1 Ortiz Bautista, Carlos
A1 Zatarain Nicolás, Eduardo
A1 Sousa Casasnovas, Iago
A1 Pedraz Prieto, Álvaro
A1 Barrio Gutiérrez, Jose María
A1 Pascual Izquierdo, María Cristina
A1 Fernández-Avilés Díaz, Francisco Jesús
AB 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.
PB Lippincott, Williams & Wilkins
YR 2021
FD 2021-10-01
LK https://hdl.handle.net/20.500.14352/117562
UL https://hdl.handle.net/20.500.14352/117562
LA eng
NO Martínez-Solano J, Ortiz-Bautista C, Zatarain-Nicolás E, Sousa-Casasnovas I, Pedraz-Prieto Á, Barrio-Gutiérrez JM, Pascual-Izquierdo C, Fernández-Avilés F. Management of Intracranial Hemorrhage During Pulsatile Long-Term Biventricular Support: When Necessity Is the Mother of Invention. ASAIO J. 2021 Oct 1;67(10):e172-e175. PMID 33528165.
DS Docta Complutense
RD 10 abr 2025