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Retrograde Washout of a Pre-pump LVAD thrombosis in a patient on HeartWare™ support.
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  • Mohamed Elbayomi,
  • Michael Weyand,
  • Christian Heim,
  • Katrin Steger,
  • med. Rene Tandler
Mohamed Elbayomi
Universitatsklinikum Erlangen

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Michael Weyand
Universitatsklinikum Erlangen
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Christian Heim
Universitatsklinikum Erlangen
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Katrin Steger
Universitatsklinikum Erlangen
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med. Rene Tandler
Universitatsklinikum Erlangen
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The success of the left ventricular assist device (LVAD) as a treatment for terminal left-side heart failure is still restrained by some severe complications associated with mechanical circulatory support. Pump thrombus still affects many patients. It is associated with high morbidity and mortality. The therapeutic options include augmentation of anticoagulation and antiplatelet medication, intravenous or catheter-guided thrombolysis, and pump exchange. Heart transplantation would be a desirable option in this population, but unfortunately, it is only theoretical given the increasing number of LVAD implants and decreasing number of organ donors. A retrograde washout maneuver may be a treatment option in pre-pump thrombosis in selected patients. Therefore, the decision should be made on an individual basis after balancing the risks and benefits of different treatment approaches.
09 May 2022Submitted to Journal of Cardiac Surgery
10 May 2022Submission Checks Completed
10 May 2022Assigned to Editor
16 May 2022Reviewer(s) Assigned
20 Jun 2022Review(s) Completed, Editorial Evaluation Pending
20 Jun 2022Editorial Decision: Revise Minor
27 Jun 20221st Revision Received
27 Jun 2022Submission Checks Completed
27 Jun 2022Assigned to Editor
27 Jun 2022Reviewer(s) Assigned
06 Jul 2022Review(s) Completed, Editorial Evaluation Pending
13 Jul 2022Editorial Decision: Accept