Percutaneous Decommissioning 11 Years After Initial CF-LVAD Placement

Max Ruge; Stefanie Marek-Iannucci; H Todd Massey; Nicholas J Ruggiero; John Lawrence; Praveen Mehrotra; J Eduardo Rame; Rene Alvarez; Indranee Rajapreyar; Yevgeniy Brailovsky

doi:10.1016/j.jaccas.2022.10.014

Percutaneous Decommissioning 11 Years After Initial CF-LVAD Placement

JACC Case Rep. 2022 Nov 23;4(24):101682. doi: 10.1016/j.jaccas.2022.10.014. eCollection 2022 Dec 21.

Affiliations

¹ Department of Medicine, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
² Division of Cardiology, Jefferson Heart Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
³ Division of Cardiac Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

Abstract

An 80-year-old man with severe nonischemic cardiomyopathy status post left ventricular assist device (LVAD) placement 11 years prior presented for recurrent LVAD alarms from internal driveline fracture. Given his partial myocardial recovery and his preference to avoid surgical procedures, percutaneous LVAD decommissioning was performed by occlusion of the outflow graft and subsequently driveline removal. (Level of Difficulty: Advanced.).

Keywords: CF, continuous flow; CI, cardiac index; CO, cardiac output; CTS, cardiothoracic surgery; GDMT, guideline-directed medical therapy; HF, heart failure; LVAD; LVAD, left ventricular assist device; LVEF, left ventricular ejection fraction; PCWP, pulmonary capillary wedge pressure; TTE, transthoracic echocardiogram; case report; decommissioning; heart failure; myocardial recovery.

Publication types

Case Reports