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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
Published on: July 20, 2022
Management of patients with the Intravascular Ventricular Assist System (iVAS) for non-cardiac surgery
Sathappan Karuppiah1, Mojca Remskar1, Richard Prielipp1
1Department of Anesthesiology, University of Minnesota School of Medicine, B515 Mayo Memorial Building, MMC 294, 420 Delaware Street, SE, Minneapolis, MN, USA.
Abstract:
Intravascular ventricular assist system (iVAS) is an investigative device in clinical trials for the management of advanced heart failure. It works on the principle of counterpulsation, similar to the classic intra-aortic balloon counterpulsation (IABP). We present a case of a 66-year-old man with iVAS in situ who required emergency laparotomy for a strangulated umbilical hernia. Patients with mechanical circulatory devices (MCD) are presenting more frequently for emergency and even elective noncardiac operations. Managing such patients poses significant challenges to the perioperative team due to its novelty and paucity of management recommendations.
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