Successful Percutaneous Management of LVAD Outflow Graft Stenosis: Role of Invasive Hemodynamics in Decision Making

Authors

Tarun Dalia, University of Kansas Medical Center, KansasFollow
Amandeep Goyal, University of Kansas Medical CenterFollow
Harsh Mehta, University of Kansas Medical CenterFollow
Henedine C. Foster, University of Kansas Medical CenterFollow
Eric Hockstad, University of Kansas Medical CenterFollow
Aaron Rohr, University of Kansas Medical CenterFollow
Philip Johnson, University of Kansas Medical CenterFollow
Travis Abicht, University of Kansas Medical CenterFollow
Bhanu Gupta, University of Kansas Medical CenterFollow

Document Type

Case Report

Abstract

Left ventricular assist device (LVAD) outflow graft stenosis (OGS) is a rare but lethal complication. We present a case of a 79-year-old male with pertinent past medical history of an LVAD implanted as destination therapy, stage III chronic kidney disease, and hypertension. He was admitted for low-flow alarms, and the echocardiogram showed stable right ventricle function and no pericardial effusion. Invasive hemodynamic assessments demonstrated a peak-to-peak gradient of 90 mm Hg in the outflow graft between the mid and distal ends of the graft on pullback. Contrast angiography confirmed OGS. The OGS was successfully treated with a VBX-covered stent (Gore). OGS should be considered when low flow alarms are found in patients with LVADs.

Streaming Media

Additional Streaming Media

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

Recommended Citation

Dalia, Tarun; Goyal, Amandeep; Mehta, Harsh; Foster, Henedine C.; Hockstad, Eric; Rohr, Aaron; Johnson, Philip; Abicht, Travis; and Gupta, Bhanu (2022) "Successful Percutaneous Management of LVAD Outflow Graft Stenosis: Role of Invasive Hemodynamics in Decision Making," The VAD Journal: Vol. 8(1) :e2022819 DOI: https://doi.org/10.11589/vad/e2022819

Available at: https://digitalcommons.library.tmc.edu/vad/vol8/iss1/9

First Page

e2022819