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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Right ventricular (RV) shock, classically characterized by elevated central venous pressure (CVP) with&#160;normal to low pulmonary artery (PA) and ...

University of Nebraska Medical Center

Several patient-related characteristics have been associated with inferior outcomes following durable left ventricular assist device (LVAD) implantation in patients transitioned from venoarterial extracorporeal membrane oxygenation (VA ECMO). The impact of LVAD pump type used is less well-known.

Can we expect improvements in outcomes with centrifugal vs axial flow left ventricular assist devices in patients transitioned from extracorporeal life support?

Clinicians Call for Post Left Ventricular Assist Device Implantation Physical Activity Guidelines.

One of the dreaded complications of left ventricular assist device implantation is mechanical obstruction of the device secondary to pump thrombosis or mechanical outflow cannula obstruction. We describe a case of outflow cannula obstruction caused by kinking and twisting of the outflow graft after surgical manipulation of the pump. ().

Left Ventricular Assist Device Outflow Cannula Obstruction: Importance of Multimodality Imaging.

Lung transplantation with lungs procured from donors after circulatory death (DCD) has been established as an alternative technique to traditional donation after brain death (DBD) with comparable outcomes. Recently, in situ thoracoabdominal normothermic regional perfusion (TA-NRP) has emerged as a novel technique employed in the procurement of cardiac allografts after circulatory death. TA-NRP, in contrast to ex situ machine perfusion, has the advantage of allowing in situ assessment of donor organs prior to final acceptance. However, there are some concerns that this technique may adversely impact the quality of lung allografts. Here, we present a case of a successful bilateral sequential lung transplantation in a patient with postinflammatory pulmonary fibrosis due to acute respiratory distress syndrome (ARDS), with lungs procured after normothermic in situ lung perfusion. Apart from the lungs, heart, liver, and kidneys were also successfully transplanted from this donor.

Successful lung transplantation with graft recovered after thoracoabdominal normothermic perfusion from donor after circulatory death.

A North American single-center experience with liver transplantation using thoracoabdominal normothermic regional perfusion for donation after circulatory death.

Donation after circulatory death is emerging as an alternative pathway to donation after brain death to expand the cardiac organ donor pool. We describe the surgical technique and circuit configuration for in-situ organ reperfusion with thoracoabdominal normothermic regional perfusion using portable venoarterial extracorporeal membrane oxygenation.

Article	Year
Can we expect improvements in outcomes with centrifugal vs axial flow left ventricular assist devices in patients transitioned from extracorporeal life support? Journal of cardiac surgery\| PubMed ID: 31478259	2019
Clinicians Call for Post Left Ventricular Assist Device Implantation Physical Activity Guidelines. ASAIO journal (American Society for Artificial Internal Organs : 1992)\| PubMed ID: 33528166	2021
Left Ventricular Assist Device Outflow Cannula Obstruction: Importance of Multimodality Imaging. JACC. Case reports\| PubMed ID: 34316995	2020
Successful lung transplantation with graft recovered after thoracoabdominal normothermic perfusion from donor after circulatory death. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons\| PubMed ID: 34403207	2022
A North American single-center experience with liver transplantation using thoracoabdominal normothermic regional perfusion for donation after circulatory death. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons\| PubMed ID: 34455701	2022
Thoracoabdominal Normothermic Perfusion in Donation After Circulatory Death. The Annals of thoracic surgery\| PubMed ID: 34634242	2022

Anthony Castleberry

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