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A novel method of transapical ProtekDuo rapid deployment cannula as temporary left ventricular assist device.
- Source :
-
Journal of Surgical Case Reports . Jun2023, Vol. 2023 Issue 6, p1-2. 2p. - Publication Year :
- 2023
-
Abstract
- Peripheral extracorporeal membrane oxygenation (ECMO) is one of the most common strategies for cardiogenic shock. ECMO cannulation is associated with an increased risk of complications. We describe a minimally invasive, off-pump technique to provide adequate hemodynamic support and left ventricular unloading. A 54-year-old male with nonischemic cardiomyopathy and severe peripheral vascular disease with cardiogenic shock was initially supported with inotropes and an intra-aortic balloon pump. Despite continued support, he continued to deteriorate, and we escalated to a temporary left ventricular support with a CentriMag, using a transapical ProtekDuo Rapid Deployment cannula via mini left-thoracotomy. This approach provides adequate hemodynamic support, left ventricular unloading and early ambulation. After 9 days, the patient's functional status was improved and was medically optimized. The patient received a left ventricular assist device as destination therapy. He was discharged home, resumed his normal activities and has been doing well for more than 27 months. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 20428812
- Volume :
- 2023
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Journal of Surgical Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- 164968347
- Full Text :
- https://doi.org/10.1093/jscr/rjad246