Work

Complex Outflow Graft Thrombosis of a Patient on Durable Left Ventricular Assist Device

Year: 2025

Type: article

Abstract: CASE SUMMARY: A 54-year-old female patient on long-term left ventricular assist device (LVAD) support presented with acute onset of low cardiac output due to LVAD low-flow, based on a complex thrombus formation extending directly to the pump. Interventional treatment, including precautions to prevent embolization, aspiration of floating thrombus formations, and implantation of an expandable endoprosthesis, led to a complete normalization of the LVAD flow. Twelve months after the procedure, we see no signs of recurrent thrombosis. TAKE-HOME MESSAGE: Interventional thrombus aspiration and endovascular stenting, combined with embolism prevention, can be a safe and less-invasive treatment option for patients with outflow graft thrombosis.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.106347

Authors: Hanna Gravert, Jost Philipp Schäfer, Mohammed Elsayed Abuelnour Saad, Gregor Warnecke, Bernd Panholzer

Institution: University Hospital Schleswig-Holstein

Language: English

Topic: Mechanical Circulatory Support Devices

Subfield: Biomedical Engineering

Field: Engineering

Domain: Physical Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850