Catheter-based embolectomy prior to right ventricular mechanical circulatory support placement after heart transplantation

Vikrant S. Jagadeesan*, Laura J. Davidson, Andrei Churyla, Keith H. Benzuly

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Severe acute isolated right ventricular failure has limited dedicated percutaneous temporary mechanical circulatory support options, especially after orthotopic heart transplantation. The advent of the Impella RP device provides a newer option, though an absolute contraindication to device placement is thrombus within the right heart. We present a novel case where catheter-based embolectomy was used to evacuate right heart thrombus before Impella RP placement in a patient with severe acute right ventricular failure due to primary graft dysfunction after orthotopic heart transplantation.

Original languageEnglish (US)
Pages (from-to)3215-3218
Number of pages4
JournalESC Heart Failure
Volume7
Issue number5
DOIs
StatePublished - Oct 1 2020

Keywords

  • Cardiogenic shock
  • Mechanical circulatory support
  • Thrombectomy
  • Transplantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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