Inflow cannula obstruction in Berlin Heart Excor and novel extracorporeal membrane oxygenation cannulation for rescue

Shriprasad R. Deshpande; Manan Desai; Pranava Sinha; Joshua Kanter; Can Yerebakan

doi:10.1177/0391398820901828

Inflow cannula obstruction in Berlin Heart Excor and novel extracorporeal membrane oxygenation cannulation for rescue

Shriprasad R. Deshpande, Manan Desai, Pranava Sinha, Joshua Kanter, Can Yerebakan

Research output: Contribution to journal › Article › peer-review

Abstract

Utilization of Berlin Excor as a pediatric bridge to transplantation device continues to increase. Thromboembolic complications continue to be an important morbidity related to ventricular assist devices. Obstructions to the device cannulae are rare but potentially life-threatening complications of ventricular assist devices, but inflow cannula obstruction is hitherto unreported. We present a case of a 4-year-old supported with Berlin BiVAD who demonstrated acute decompensation related to thrombus within the left atrial cannula. We describe the diagnosis, intervention, as well as novel rescue using existing cannulae for extracorporeal membrane oxygenation support.

Original language	English (US)
Pages (from-to)	625-628
Number of pages	4
Journal	International Journal of Artificial Organs
Volume	43
Issue number	9
DOIs	https://doi.org/10.1177/0391398820901828
State	Published - Sep 1 2020
Externally published	Yes

Bibliographical note

Publisher Copyright:
© The Author(s) 2020.

Keywords

antithrombotic therapy
apheresis and detoxification techniques
artificial kidney
cardiac assist and artificial heart
Pediatric
pediatric circulatory support
pediatric ECMO
pediatric VAD support
thromboembolism

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10.1177/0391398820901828

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abstract = "Utilization of Berlin Excor as a pediatric bridge to transplantation device continues to increase. Thromboembolic complications continue to be an important morbidity related to ventricular assist devices. Obstructions to the device cannulae are rare but potentially life-threatening complications of ventricular assist devices, but inflow cannula obstruction is hitherto unreported. We present a case of a 4-year-old supported with Berlin BiVAD who demonstrated acute decompensation related to thrombus within the left atrial cannula. We describe the diagnosis, intervention, as well as novel rescue using existing cannulae for extracorporeal membrane oxygenation support.",

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AU - Deshpande, Shriprasad R.

AU - Desai, Manan

AU - Sinha, Pranava

AU - Kanter, Joshua

AU - Yerebakan, Can

N1 - Publisher Copyright: © The Author(s) 2020.

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Y1 - 2020/9/1

N2 - Utilization of Berlin Excor as a pediatric bridge to transplantation device continues to increase. Thromboembolic complications continue to be an important morbidity related to ventricular assist devices. Obstructions to the device cannulae are rare but potentially life-threatening complications of ventricular assist devices, but inflow cannula obstruction is hitherto unreported. We present a case of a 4-year-old supported with Berlin BiVAD who demonstrated acute decompensation related to thrombus within the left atrial cannula. We describe the diagnosis, intervention, as well as novel rescue using existing cannulae for extracorporeal membrane oxygenation support.

AB - Utilization of Berlin Excor as a pediatric bridge to transplantation device continues to increase. Thromboembolic complications continue to be an important morbidity related to ventricular assist devices. Obstructions to the device cannulae are rare but potentially life-threatening complications of ventricular assist devices, but inflow cannula obstruction is hitherto unreported. We present a case of a 4-year-old supported with Berlin BiVAD who demonstrated acute decompensation related to thrombus within the left atrial cannula. We describe the diagnosis, intervention, as well as novel rescue using existing cannulae for extracorporeal membrane oxygenation support.

KW - antithrombotic therapy

KW - apheresis and detoxification techniques

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KW - thromboembolism

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Inflow cannula obstruction in Berlin Heart Excor and novel extracorporeal membrane oxygenation cannulation for rescue

Abstract

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