A Case of Successful Use of the “Anchoring Technique” for Percutaneous Treatment of Left Ventricular Assist Device Graft Occlusion

Rocco Edoardo Stio, Andrea Montalto, Alfredo Intorcia, Vincenzo Polizzi, Mariano Feccia, Carmine Musto, Mauro Pennacchi, Luca Paolucci, Regina Stumpo, Emilio D’Avino, Francesco De Felice, Domenico Gabrielli and Francesco Musumeci
Additional contact information
Rocco Edoardo Stio: Division of Interventional Cardiology, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Andrea Montalto: Cardiac Surgery Unit and Heart Transplantation Center, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Alfredo Intorcia: Division of Interventional Cardiology, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Vincenzo Polizzi: Cardiac Surgery Unit and Heart Transplantation Center, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Mariano Feccia: Cardiac Surgery Unit and Heart Transplantation Center, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Carmine Musto: Division of Interventional Cardiology, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Mauro Pennacchi: Division of Interventional Cardiology, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Luca Paolucci: Division of Interventional Cardiology, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Regina Stumpo: Division of Vascular Surgery, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Emilio D’Avino: Department of Cardiovascular Anaesthesia, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Francesco De Felice: Division of Interventional Cardiology, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Domenico Gabrielli: Division of Interventional Cardiology, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy
Francesco Musumeci: Cardiac Surgery Unit and Heart Transplantation Center, Department of Heart and Vessels, San Camillo-Forlanini Hospital, 00152 Rome, Italy

IJERPH, 2022, vol. 19, issue 4, 1-6

Abstract: Left ventricular assist device (LVAD) obstruction can be a dramatic and life-threatening complication in patients with advanced heart failure (HF). Despite surgical redo is often required in these patients, it is associated with a high risk of periprocedural negative outcome. We report the case of a 68-year-old male with a thrombotic stenosis of the LVAD proximal outflow-graft. Following Heart Team debate, a percutaneous intervention was planned during veno-arterial Extra Corporeal Membrane Oxygenation (ECMO) assistance. To achieve the needed catheter support, we used the “distal balloon anchoring technique” through the outflow-graft and managed to implant a covered stent, rapidly restoring the flow through the LVAD. The patient was discharged without further complications. Our case shows that, in selected cases, percutaneous treatment of LVAD obstructions can be feasible, especially using advanced techniques derived from the experiences in coronary interventions and under ECMO assistance. More cases and prospective studies are mostly needed to explore long-term patency of the LVADs and clinical outcomes in these high-risk patients.

Keywords: left ventricular assist device; percutaneous coronary intervention; heart failure (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/4/2441/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/4/2441/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:4:p:2441-:d:753934

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().