Martínez Solano, JorgeOrtiz Bautista, CarlosZatarain Nicolás, EduardoSousa Casasnovas, IagoPedraz Prieto, ÁlvaroBarrio Gutiérrez, Jose MaríaPascual Izquierdo, María CristinaFernández-Avilés Díaz, Francisco Jesús2025-02-032025-02-032021-10-01Martínez-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 33528165.10.1097/MAT.0000000000001353https://hdl.handle.net/20.500.14352/117562Despite 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.engjournal articlehttps://doi.org/10.1097/MAT.0000000000001353https://journals.lww.com/asaiojournal/abstract/2021/10000/management_of_intracranial_hemorrhage_during.19.aspxrestricted access616.12Cardiología3205.01 Cardiología