Treatment of outflow graft stenosis in left ventricular assist device patients: Endovascular approach

Mehmet Karahan

doi:10.5606/tgkdc.dergisi.2020.19888

Mehmet Karahan¹, Muharrem Tola², Mustafa Özdemir², Doğan Emre Sert¹, Sinan Sabit Kocabeyoğlu¹, Ümit Kervan¹

¹Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey
²Department of Radiology, Ankara City Hospital, Ankara, Turkey

DOI : 10.5606/tgkdc.dergisi.2020.19888

Left ventricular assist device outflow graft stenosis is a rare, but a lethal complication. Device replacement or thrombolytic treatments are associated with serious mortality and morbidity. Implantation of covered stents is a less invasive option. Herein, we represent a successful stent placement of two cases with outflow graft stenosis, which we performed by leaving the stents on the aortic side of the anastomosis line 5 to 10 mm. This treatment option can be used reliably in cases of stenosis of the outflow graft with part of the stent leaving the aorta.

Keywords : Left ventricular assist device, outflow stenosis, stent, thrombosis

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