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Massive retroperitoneal hemorrhage after external shock wave lithotripsy in a patient with a left ventricular assist

Gaurav Gulati1, Michael Kiernan1, Marwa A Sabe2

  • 1Cardiovascular Center, Tufts Medical Center, Boston, MA, United States.

Urology Case Reports
|October 24, 2019
PubMed

As left ventricular assist devices (LVADs) become more prevalent, it is increasingly likely that patients with LVADs will require non cardiac procedures. Peri-procedural anticoagulation management is challenging in these patients and requires balancing risks of bleeding and pump thrombosis. We present a case of a patient with a HeartWare LVAD who developed a massive retroperitoneal hemorrhage after external shock wave lithotripsy (ESWL) for an obstructing renal calculus and briefly review the literature regarding bleeding complications after ESWL as well as peri-procedural anticoagulation management of patients with LVADs.

Keywords:
AnticoagulationHemorrhageLVADLithotripsy

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