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一名使用HeartMate III®左心室辅助装置且患有获得性血管性血友病综合征并反复出现胃肠道出血事件的患者的抗凝策略：有时少即是多。

Anticoagulation strategy in a patient on the HeartMate III® left ventricular assist device with acquired von Willebrand syndrome and recurring gastrointestinal bleeding episodes: sometimes less is more.

作者信息

Grabner Bernhard, Quehenberger Peter, Schaefer Anne-Kristin, Steinlechner Barbara

机构信息

Division of Cardiothoracic and Vascular Anesthesia, Medical University of Vienna, Vienna, Austria.

Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.

出版信息

Eur J Cardiothorac Surg. 2020 Apr 1;57(4):796-798. doi: 10.1093/ejcts/ezz165.

DOI:10.1093/ejcts/ezz165
PMID:31177280
Abstract

Acquired von Willebrand syndrome is a frequently encountered complication of continuous flow ventricular assist devices, which may lead to clinically relevant bleeding in up to 30% of patients after continuous flow ventricular assist device implantation. As standard anticoagulation strategies may be detrimental, individualized treatment is called for, as described in our patient on the HeartMate III® left ventricular assist device.

摘要

获得性血管性血友病综合征是连续血流心室辅助装置常见的并发症，在连续血流心室辅助装置植入术后，高达30%的患者可能会出现具有临床意义的出血。由于标准抗凝策略可能有害，因此需要个体化治疗，正如我们这位使用HeartMate III®左心室辅助装置的患者的情况。

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