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Placement of a large transseptal cannula through an inferior vena cava filter for TandemHeart percutaneous left ventricular assist.

作者信息

Chiam Paul T L, Ruiz Carlos E, Cohen Howard A

机构信息

Lenox Hill Heart and Vascular Institute, New York, New York 10075, USA.

出版信息

J Invasive Cardiol. 2008 Jun;20(6):E197-9.

PMID:18523337
Abstract

We report a case of successful TandemHeart implantation for cardiogenic shock due to critical aortic stenosis using a 21 Fr transseptal cannula which was safely advanced through an existing inferior vena cava (IVC) filter under fluoroscopic guidance. This supported the patient through balloon valvuloplasty and subsequent definitive surgical valve replacement. This report demonstrates that the IVC filter can be safely crossed with a sheath as large as 21 Fr in size. In addition, patients with an existing IVC filter requiring a TandemHeart percutaneous ventricular assist device should not be denied this device for fear of dislodging the filter.

摘要

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