Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique

Remigiusz Antończyk; Ewa Trejnowska; Jerzy Pacholewicz; Tomasz Wolny; Paweł Nadziakiewicz; Karolina Antończyk; Izabela Copik; Magdalena Piontek; Małgorzata Jasińska; Krzysztof Filipiak; Maciej Głowacki; Maciej Gawlikowski; Marcin Borowicz; Roman Kustosz; Jacek Waszak; Piotr Przybyłowski; Marian Zembala; Michał Zakliczyński; Michał Oskar Zembala

doi:10.5114/kitp.2017.66938

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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abstract:

Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique

Remigiusz Antończyk

,

Ewa Trejnowska

,

Jerzy Pacholewicz

,

Tomasz Wolny

,

Paweł Nadziakiewicz

,

Karolina Antończyk

,

Izabela Copik

,

Magdalena Piontek

,

Małgorzata Jasińska

,

Krzysztof Filipiak

,

Maciej Głowacki

,

Maciej Gawlikowski

,

Marcin Borowicz

,

Roman Kustosz

,

Jacek Waszak

,

Piotr Przybyłowski

,

Marian Zembala

,

Michał Zakliczyński

,

Michał Oskar Zembala

Kardiochirurgia i Torakochirurgia Polska 2017; 14 (1): 76-78

DOI: https://doi.org/10.5114/kitp.2017.66938

Online publish date: 2017/03/31

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AMA

Antończyk R, Trejnowska E, Pacholewicz J, et al. Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2017;14(1):76-78. doi:10.5114/kitp.2017.66938.

APA

Antończyk, R., Trejnowska, E., Pacholewicz, J., Wolny, T., Nadziakiewicz, P.,  & Antończyk, K. et al. (2017). Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 14(1), 76-78. https://doi.org/10.5114/kitp.2017.66938

Chicago

Antończyk, Remigiusz, Ewa Trejnowska, Jerzy Pacholewicz, Tomasz Wolny, Paweł Nadziakiewicz, Karolina Antończyk,  and Izabela Copik et al. 2017. "Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 14 (1): 76-78. doi:10.5114/kitp.2017.66938.

Harvard

Antończyk, R., Trejnowska, E., Pacholewicz, J., Wolny, T., Nadziakiewicz, P., Antończyk, K., Copik, I., Piontek, M., Jasińska, M., Filipiak, K., Głowacki, M., Gawlikowski, M., Borowicz, M., Kustosz, R., Waszak, J., Przybyłowski, P., Zembala, M., Zakliczyński, M.,  and Zembala, M. (2017). Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 14(1), pp.76-78. https://doi.org/10.5114/kitp.2017.66938

MLA

Antończyk, Remigiusz et al. "Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 14, no. 1, 2017, pp. 76-78. doi:10.5114/kitp.2017.66938.

Vancouver

Antończyk R, Trejnowska E, Pacholewicz J, Wolny T, Nadziakiewicz P, Antończyk K et al. Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2017;14(1):76-78. doi:10.5114/kitp.2017.66938.

PlumX metrics:

Left ventricular assist device (LVAD) thrombosis remains a dreadful complication of mechanical circulatory support, with an incidence of 8–12% depending on the pump type and patient’s comorbidities. Fibrinolysis may be considered early in pump thrombosis, but when contraindicated a pump exchange remains the only alternative. This short report documents an emergency LVAD exchange in a 55-year-old man who underwent LVAD (HeartWare Inc) implantation in 2013 as a bridge to transplantation. Four months after the initial surgery, he suffered from a hemorrhagic stroke despite properly managed anticoagulation. On February 17th, 2017 he was re-admitted with LVAD pump thrombosis. As fibrinolysis was contraindicated, an emergency pump exchange was performed via a limited thoracic incision in order to minimize surgical trauma, reduce intraoperative complications and facilitate immediate post-operative recovery. This report documents the very first LVAD pump exchange as well as the first one performed via a minimally invasive approach in Poland.

keywords:

Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique

left ventricular assist device, HVAD, pump, excange, HeartWare, thrombosis, mini, minimally invasive