Peripheral venoarterial extracorporeal life support despite impending left ventricular thrombosis: A bridge to resolution

Thijs S.R. Delnoij; Anouk E.M. Wetzels; Patrick W. Weerwind; Jos G. Maessen; Kadir Caliskan; Dirk W. Donker

doi:10.1053/j.jvca.2013.03.018

Peripheral venoarterial extracorporeal life support despite impending left ventricular thrombosis: A bridge to resolution

Thijs S.R. Delnoij, Anouk E.M. Wetzels, Patrick W. Weerwind, Jos G. Maessen, Kadir Caliskan, Dirk W. Donker

Cardiology

Research output: Contribution to journal › Comment/Letter to the editor › Academic › peer-review

3 Citations (Scopus)

4 Downloads (Pure)

Abstract

To the Editor:
Complete left ventricular (LV) thrombosis is a feared complication of venoarterial extracorporeal life support (VA-ELS), especially in severe contractile dysfunction. During VA-ELS, progressive intracavitary thrombus formation may be inevitable despite strict anticoagulation in the virtual absence of contractility, blood flow, and altered coagulability. Therefore, preexisting, large LV thrombi may be regarded as a relative contraindication for VA-ELS, and international guidelines consider it futile if patients are not amenable to cardiac transplant. [...]

Original language	English
Pages (from-to)	e48-e49
Journal	Journal of Cardiothoracic and Vascular Anesthesia
Volume	27
Issue number	4
DOIs	https://doi.org/10.1053/j.jvca.2013.03.018
Publication status	Published - Aug 2013

Bibliographical note

Supplementary data associated with this article can be found in the online version at doi:10.1053/j.jvca.2013.03.018.

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10.1053/j.jvca.2013.03.018

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title = "Peripheral venoarterial extracorporeal life support despite impending left ventricular thrombosis: A bridge to resolution",

abstract = "To the Editor:Complete left ventricular (LV) thrombosis is a feared complication of venoarterial extracorporeal life support (VA-ELS), especially in severe contractile dysfunction. During VA-ELS, progressive intracavitary thrombus formation may be inevitable despite strict anticoagulation in the virtual absence of contractility, blood flow, and altered coagulability. Therefore, preexisting, large LV thrombi may be regarded as a relative contraindication for VA-ELS, and international guidelines consider it futile if patients are not amenable to cardiac transplant. [...]",

author = "Delnoij, {Thijs S.R.} and Wetzels, {Anouk E.M.} and Weerwind, {Patrick W.} and Maessen, {Jos G.} and Kadir Caliskan and Donker, {Dirk W.}",

note = "Supplementary data associated with this article can be found in the online version at doi:10.1053/j.jvca.2013.03.018.",

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Peripheral venoarterial extracorporeal life support despite impending left ventricular thrombosis: A bridge to resolution. / Delnoij, Thijs S.R.; Wetzels, Anouk E.M.; Weerwind, Patrick W. et al.
In: Journal of Cardiothoracic and Vascular Anesthesia, Vol. 27, No. 4, 08.2013, p. e48-e49.

Research output: Contribution to journal › Comment/Letter to the editor › Academic › peer-review

TY - JOUR

T1 - Peripheral venoarterial extracorporeal life support despite impending left ventricular thrombosis

T2 - A bridge to resolution

AU - Delnoij, Thijs S.R.

AU - Wetzels, Anouk E.M.

AU - Weerwind, Patrick W.

AU - Maessen, Jos G.

AU - Caliskan, Kadir

AU - Donker, Dirk W.

N1 - Supplementary data associated with this article can be found in the online version at doi:10.1053/j.jvca.2013.03.018.

PY - 2013/8

Y1 - 2013/8

N2 - To the Editor:Complete left ventricular (LV) thrombosis is a feared complication of venoarterial extracorporeal life support (VA-ELS), especially in severe contractile dysfunction. During VA-ELS, progressive intracavitary thrombus formation may be inevitable despite strict anticoagulation in the virtual absence of contractility, blood flow, and altered coagulability. Therefore, preexisting, large LV thrombi may be regarded as a relative contraindication for VA-ELS, and international guidelines consider it futile if patients are not amenable to cardiac transplant. [...]

AB - To the Editor:Complete left ventricular (LV) thrombosis is a feared complication of venoarterial extracorporeal life support (VA-ELS), especially in severe contractile dysfunction. During VA-ELS, progressive intracavitary thrombus formation may be inevitable despite strict anticoagulation in the virtual absence of contractility, blood flow, and altered coagulability. Therefore, preexisting, large LV thrombi may be regarded as a relative contraindication for VA-ELS, and international guidelines consider it futile if patients are not amenable to cardiac transplant. [...]

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U2 - 10.1053/j.jvca.2013.03.018

DO - 10.1053/j.jvca.2013.03.018

M3 - Comment/Letter to the editor

C2 - 23849534

AN - SCOPUS:84880258656

SN - 1053-0770

VL - 27

SP - e48-e49

JO - Journal of Cardiothoracic and Vascular Anesthesia

JF - Journal of Cardiothoracic and Vascular Anesthesia

IS - 4

ER -

Peripheral venoarterial extracorporeal life support despite impending left ventricular thrombosis: A bridge to resolution

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