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Updated: Apr 23, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Particle embolization for the treatment of life-threatening epistaxis in a left ventricular assist device patient
Brian S Letzen1, Charles C Matouk, Pramod Bonde
1From the Section of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut.
Abstract:
While epistaxis is self-limiting in most cases, patients who are anticoagulated are at increased risk for life-threatening hemorrhage. The management of epistaxis in patients with a left ventricular assist device is further complicated by an increased risk for hemodynamic instability. Here, we detail the successful treatment of massive epistaxis in a left ventricular assist device patient by endovascular particle embolization. We hope to increase awareness in the cardiovascular community of this minimally invasive, potentially life-saving procedure.
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