Value of Serial Echo-Guided Ramp Studies in a Patient with Suspicion of Device Thrombosis after Left Ventricular Assist Device Implantation (pages E5–E9)
Tomoko S. Kato, Paolo C. Colombo, Nadav Nahumi, Shuichi Kitada, Hiroo Takayama, Yoshifumi Naka, Marco R. Di Tullio, Shunichi Homma, Donna Mancini, Ulrich P. Jorde and Nir Uriel
Article first published online: 24 SEP 2013 | DOI: 10.1111/echo.12379
Continuous-flow left ventricular assist devices (CF-LVAD) have become a durable and reliable therapy for patients with heart failure; however, thrombus formation is still one of the main reasons for device malfunction and pump replacement. We recently established a novel approach to optimize CF-LVAD function and diagnose device malfunctions. We describe a case of a 29-year-old woman in whom serial ramp studies were used to diagnose intra-device thrombus after implantation. Anticoagulation was optimized under the guidance of ramp studies until she was successfully transplanted.