Percutaneous Decommissioning 11 Years After Initial CF-LVAD Placement

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, percutaneo...

Full description

Bibliographic Details
Main Authors: Max Ruge, MD, Stefanie Marek-Iannucci, MD, PhD, H. Todd Massey, MD, Nicholas J. Ruggiero, MD, John Lawrence, MD, Praveen Mehrotra, MD, J. Eduardo Rame, MD, Rene Alvarez, MD, Indranee Rajapreyar, MD, Yevgeniy Brailovsky, DO
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266608492200835X
_version_ 1828126772334428160
author Max Ruge, MD
Stefanie Marek-Iannucci, MD, PhD
H. Todd Massey, MD
Nicholas J. Ruggiero, MD
John Lawrence, MD
Praveen Mehrotra, MD
J. Eduardo Rame, MD
Rene Alvarez, MD
Indranee Rajapreyar, MD
Yevgeniy Brailovsky, DO
author_facet Max Ruge, MD
Stefanie Marek-Iannucci, MD, PhD
H. Todd Massey, MD
Nicholas J. Ruggiero, MD
John Lawrence, MD
Praveen Mehrotra, MD
J. Eduardo Rame, MD
Rene Alvarez, MD
Indranee Rajapreyar, MD
Yevgeniy Brailovsky, DO
author_sort Max Ruge, MD
collection DOAJ
description 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.)
first_indexed 2024-04-11T15:39:30Z
format Article
id doaj.art-a62d20178abe41ff852f6a623b4b7465
institution Directory Open Access Journal
issn 2666-0849
language English
last_indexed 2024-04-11T15:39:30Z
publishDate 2022-12-01
publisher Elsevier
record_format Article
series JACC: Case Reports
spelling doaj.art-a62d20178abe41ff852f6a623b4b74652022-12-22T04:15:51ZengElsevierJACC: Case Reports2666-08492022-12-01424101682Percutaneous Decommissioning 11 Years After Initial CF-LVAD PlacementMax Ruge, MD0Stefanie Marek-Iannucci, MD, PhD1H. Todd Massey, MD2Nicholas J. Ruggiero, MD3John Lawrence, MD4Praveen Mehrotra, MD5J. Eduardo Rame, MD6Rene Alvarez, MD7Indranee Rajapreyar, MD8Yevgeniy Brailovsky, DO9Department of Medicine, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA; Address for correspondence: Dr Max Ruge, Thomas Jefferson University, Department of Medicine, 833 Chestnut Street, Unit 220, Philadelphia, Pennsylvania 19107, USA.Division of Cardiology, Jefferson Heart Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USADivision of Cardiac Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USADivision of Cardiology, Jefferson Heart Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USADivision of Cardiology, Jefferson Heart Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USADivision of Cardiology, Jefferson Heart Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USADivision of Cardiology, Jefferson Heart Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USADivision of Cardiology, Jefferson Heart Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USADivision of Cardiology, Jefferson Heart Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USADivision of Cardiology, Jefferson Heart Institute, Sidney Kimmel School of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USAAn 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.)http://www.sciencedirect.com/science/article/pii/S266608492200835Xcase reportdecommissioningheart failureLVADmyocardial recovery
spellingShingle Max Ruge, MD
Stefanie Marek-Iannucci, MD, PhD
H. Todd Massey, MD
Nicholas J. Ruggiero, MD
John Lawrence, MD
Praveen Mehrotra, MD
J. Eduardo Rame, MD
Rene Alvarez, MD
Indranee Rajapreyar, MD
Yevgeniy Brailovsky, DO
Percutaneous Decommissioning 11 Years After Initial CF-LVAD Placement
JACC: Case Reports
case report
decommissioning
heart failure
LVAD
myocardial recovery
title Percutaneous Decommissioning 11 Years After Initial CF-LVAD Placement
title_full Percutaneous Decommissioning 11 Years After Initial CF-LVAD Placement
title_fullStr Percutaneous Decommissioning 11 Years After Initial CF-LVAD Placement
title_full_unstemmed Percutaneous Decommissioning 11 Years After Initial CF-LVAD Placement
title_short Percutaneous Decommissioning 11 Years After Initial CF-LVAD Placement
title_sort percutaneous decommissioning 11 years after initial cf lvad placement
topic case report
decommissioning
heart failure
LVAD
myocardial recovery
url http://www.sciencedirect.com/science/article/pii/S266608492200835X
work_keys_str_mv AT maxrugemd percutaneousdecommissioning11yearsafterinitialcflvadplacement
AT stefaniemarekiannuccimdphd percutaneousdecommissioning11yearsafterinitialcflvadplacement
AT htoddmasseymd percutaneousdecommissioning11yearsafterinitialcflvadplacement
AT nicholasjruggieromd percutaneousdecommissioning11yearsafterinitialcflvadplacement
AT johnlawrencemd percutaneousdecommissioning11yearsafterinitialcflvadplacement
AT praveenmehrotramd percutaneousdecommissioning11yearsafterinitialcflvadplacement
AT jeduardoramemd percutaneousdecommissioning11yearsafterinitialcflvadplacement
AT renealvarezmd percutaneousdecommissioning11yearsafterinitialcflvadplacement
AT indraneerajapreyarmd percutaneousdecommissioning11yearsafterinitialcflvadplacement
AT yevgeniybrailovskydo percutaneousdecommissioning11yearsafterinitialcflvadplacement