Long-term outcomes after percutaneous withdrawal of HeartWare left ventricular assist device (HVAD) support: A 10-year update
Ten years have passed since we reported percutaneous decommissioning of an implantable left ventricular assist device (LVAD) using 2 Amplatzer vascular plugs in a 17-year-old male who was bridged to recovery after 22 months of LVAD support. While his left ventricular (LV) dimensions never completely...
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| Language: | English |
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Elsevier
2025-02-01
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| Series: | JHLT Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950133424001186 |
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| author | Chokanan Thaitirarot Leonard M. Shapiro Clive Lewis Jayan Parameshwar Steven S.L. Tsui Stephen J. Pettit |
| author_facet | Chokanan Thaitirarot Leonard M. Shapiro Clive Lewis Jayan Parameshwar Steven S.L. Tsui Stephen J. Pettit |
| author_sort | Chokanan Thaitirarot |
| collection | DOAJ |
| description | Ten years have passed since we reported percutaneous decommissioning of an implantable left ventricular assist device (LVAD) using 2 Amplatzer vascular plugs in a 17-year-old male who was bridged to recovery after 22 months of LVAD support. While his left ventricular (LV) dimensions never completely normalized and there has been persistent mild impairment of LV systolic function, the patient remains free of heart failure symptoms and his natriuretic peptide level has been well suppressed on guideline-directed medical therapy. He is anticoagulated with Warfarin. There have been no adverse events relating to either the decommissioned LVAD or the percutaneous driveline remnant, or anticoagulation. This case highlights the potential for long-term survival without adverse events in individuals who are left with a redundant implantable LVAD after successful percutaneous withdrawal of mechanical circulatory support. |
| format | Article |
| id | doaj-art-9319bf3b71e14f90b48322a58fbac539 |
| institution | Kabale University |
| issn | 2950-1334 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JHLT Open |
| spelling | doaj-art-9319bf3b71e14f90b48322a58fbac5392025-02-09T05:01:54ZengElsevierJHLT Open2950-13342025-02-017100169Long-term outcomes after percutaneous withdrawal of HeartWare left ventricular assist device (HVAD) support: A 10-year updateChokanan Thaitirarot0Leonard M. Shapiro1Clive Lewis2Jayan Parameshwar3Steven S.L. Tsui4Stephen J. Pettit5Transplant Unit, Royal Papworth Hospital, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK; Cardiology Centre, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand; Corresponding author: Chokanan Thaitirarot, Transplant Unit, Royal Papworth Hospital, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK.Cardiology Unit, Royal Papworth Hospital, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UKTransplant Unit, Royal Papworth Hospital, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UKTransplant Unit, Royal Papworth Hospital, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UKTransplant Unit, Royal Papworth Hospital, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UKTransplant Unit, Royal Papworth Hospital, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UKTen years have passed since we reported percutaneous decommissioning of an implantable left ventricular assist device (LVAD) using 2 Amplatzer vascular plugs in a 17-year-old male who was bridged to recovery after 22 months of LVAD support. While his left ventricular (LV) dimensions never completely normalized and there has been persistent mild impairment of LV systolic function, the patient remains free of heart failure symptoms and his natriuretic peptide level has been well suppressed on guideline-directed medical therapy. He is anticoagulated with Warfarin. There have been no adverse events relating to either the decommissioned LVAD or the percutaneous driveline remnant, or anticoagulation. This case highlights the potential for long-term survival without adverse events in individuals who are left with a redundant implantable LVAD after successful percutaneous withdrawal of mechanical circulatory support.http://www.sciencedirect.com/science/article/pii/S2950133424001186cardiac remodelingheart failureventricular assist deviceHVADdecommissioning |
| spellingShingle | Chokanan Thaitirarot Leonard M. Shapiro Clive Lewis Jayan Parameshwar Steven S.L. Tsui Stephen J. Pettit Long-term outcomes after percutaneous withdrawal of HeartWare left ventricular assist device (HVAD) support: A 10-year update JHLT Open cardiac remodeling heart failure ventricular assist device HVAD decommissioning |
| title | Long-term outcomes after percutaneous withdrawal of HeartWare left ventricular assist device (HVAD) support: A 10-year update |
| title_full | Long-term outcomes after percutaneous withdrawal of HeartWare left ventricular assist device (HVAD) support: A 10-year update |
| title_fullStr | Long-term outcomes after percutaneous withdrawal of HeartWare left ventricular assist device (HVAD) support: A 10-year update |
| title_full_unstemmed | Long-term outcomes after percutaneous withdrawal of HeartWare left ventricular assist device (HVAD) support: A 10-year update |
| title_short | Long-term outcomes after percutaneous withdrawal of HeartWare left ventricular assist device (HVAD) support: A 10-year update |
| title_sort | long term outcomes after percutaneous withdrawal of heartware left ventricular assist device hvad support a 10 year update |
| topic | cardiac remodeling heart failure ventricular assist device HVAD decommissioning |
| url | http://www.sciencedirect.com/science/article/pii/S2950133424001186 |
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