Transaxillary Stenting of LVAD Outflow Graft Obstruction

Erin Dreessens; Justin Cox; Jack Ramsey; Ensley Uyeda; Robert Adamson; Brian Jaski; Arvin Narula

doi:10.1016/j.jaccas.2021.02.038

Transaxillary Stenting of LVAD Outflow Graft Obstruction

JACC Case Rep. 2021 May 12;3(7):1064-1068. doi: 10.1016/j.jaccas.2021.02.038. eCollection 2021 Jul 7.

Authors

Erin Dreessens¹, Justin Cox^{1

2}, Jack Ramsey², Ensley Uyeda², Robert Adamson², Brian Jaski², Arvin Narula²

Affiliations

¹ Naval Medical Center San Diego, San Diego, California, USA.
² Sharp Memorial Hospital, San Diego, California, USA.

Abstract

An 82-year-old man with a HeartMate II left ventricular assist device presented with low-flow alarms and cardiogenic shock secondary to left ventricular assist device outflow graft obstruction. Given high risk for redo sternotomy, the heart team decided on percutaneous intervention with peripheral stents, a procedure that is currently limited to case reports. (Level of Difficulty: Advanced.).

Keywords: INR, international normalized ratio; IVUS; IVUS, intravascular ultrasound; LVAD stenting; LVAD, left ventricular assist device; OGO, outflow graft obstruction; PTFE, polytetrafluoroethylene; advanced heart failure; computed tomographic angiography; left ventricular assist device; percutaneous intervention.

Publication types

Case Reports