Journal article
Extrinsic outflow graft obstruction of the HeartMate 3 LVAD: A state-of-the-art review
The Journal of heart and lung transplantation, v 43(11), pp 1873-1880
Nov 2024
PMID: 39019352
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
While notable improvements in survival, the incidence of hemocompatibility-related adverse events, hospitalizations, and cost have been demonstrated with the only commercially available durable left ventricular assist device, a category of pump malfunctions characterized by outflow graft obstruction has been noted with broader use and clinical follow-up of recipients of this technology. Of particular concern is the accumulation of acellular biodebris between the outflow graft and bend relief covering the outflow graft at its origin with the pump (which we term extrinsic outflow graft obstruction at the bend relief). This process tends to be insidious, occurs late in the postoperative course, can be challenging to diagnose, and can result in significant morbidity and mortality. Herein, we provide a review of this complication and outline diagnostic, treatment, and preventive strategies.
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Details
- Title
- Extrinsic outflow graft obstruction of the HeartMate 3 LVAD: A state-of-the-art review
- Creators
- Daniel J. Goldstein - Albert Einstein College of MedicineManreet Kanwar - Allegheny Health NetworkJennifer Cowger - Henry Ford HospitalSnehal Patel - Montefiore Medical CenterDan M. Meyer - Baylor Scott & White HealthEzequiel Molina - Piedmont Atlanta HospitalChristopher Salerno - University of Chicago Medical CenterAshley Elmer - University of UtahSarah Schettle - Mayo Clinic in ArizonaJeffrey Teuteberg - Stanford UniversityFrancis Pagani - University of Michigan–Ann ArborJosef Stehlik - University of Utah
- Publication Details
- The Journal of heart and lung transplantation, v 43(11), pp 1873-1880
- Publisher
- Elsevier; NEW YORK
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Cardiology
- Web of Science ID
- WOS:001344271500001
- Scopus ID
- 2-s2.0-85200628985
- Other Identifier
- 991021932098304721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Respiratory System
- Surgery
- Transplantation