@Article{Antończyk2017,
journal="Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery",
issn="1731-5530",
volume="14",
number="1",
year="2017",
title="Emergency HeartWare Ventricular Assist Device (HVAD) exchange due to pump thrombosis using minimally invasive technique",
abstract="Left ventricular assist device (LVAD) thrombosis remains a dreadful complication of mechanical circulatory support, with an incidence of 8–12% depending on the pump type and patient’s comorbidities. Fibrinolysis may be considered early in pump thrombosis, but when contraindicated a pump exchange remains the only alternative. This short report documents an emergency LVAD exchange in a 55-year-old man who underwent LVAD (HeartWare Inc) implantation in 2013 as a bridge to transplantation. Four months after the initial surgery, he suffered from a hemorrhagic stroke despite properly managed anticoagulation. On February 17th, 2017 he was re-admitted with LVAD pump thrombosis. As fibrinolysis was contraindicated, an emergency pump exchange was performed via a limited thoracic incision in order to minimize surgical trauma, reduce intraoperative complications and facilitate immediate post-operative recovery. This report documents the very first LVAD pump exchange as well as the first one performed via a minimally invasive approach in Poland.",
author="Antończyk, Remigiusz
and Trejnowska, Ewa
and Pacholewicz, Jerzy
and Wolny, Tomasz
and Nadziakiewicz, Paweł
and Antończyk, Karolina
and Copik, Izabela
and Piontek, Magdalena
and Jasińska, Małgorzata
and Filipiak, Krzysztof
and Głowacki, Maciej
and Gawlikowski, Maciej
and Borowicz, Marcin
and Kustosz, Roman
and Waszak, Jacek
and Przybyłowski, Piotr
and Zembala, Marian
and Zakliczyński, Michał
and Zembala, Michał Oskar",
pages="76--78",
doi="10.5114/kitp.2017.66938",
url="http://dx.doi.org/10.5114/kitp.2017.66938"
}