Gastrointestinal Bleeding in Recipients of the HeartWare Ventricular Assist System

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Octreotide for the Management of Gastrointestinal Bleeding in a Patient with a HeartWare Left Ventricular Assist Device

HeartWare is a third generation left ventricular assist device (LVAD), widely used for the management of advanced heart failure patients. These devices are frequently associated with a significant risk of gastrointestinal (GI) bleeding. The data for the management of patients with LVAD presenting with GI bleeding is limited. We describe a 56-year-old lady, recipient of a HeartWare device, who e...

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Video capsule endoscopy in left ventricular assist device recipients with obscure gastrointestinal bleeding.

AIM To assess whether video capsule endoscopy (VCE) affects the outcomes of left ventricular assist devices (LVADs) recipients with gastrointestinal bleeding. METHODS This is a retrospective study of LVAD recipients with obscure gastrointestinal bleeding (OGIB) who underwent VCE at a tertiary medical center between 2005 and 2013. All patients were admitted and monitored with telemetry and all...

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HeartWare ventricular assist device experience in the real world.

We congratulate Wu et al. [1] for sharing their experience with the HeartWare ventricular assist device (HVAD), which is the largest published series so far. They were successful in demonstrating improvement not only in haemodynamic parameters but also in renal and liver function after device implantation. In comparison with previously published multicentre trials and single-centre experiences ...

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Gastrointestinal bleeding with continuous-flow left ventricular assist devices.

Continuous-flow left ventricular assist device (CF-LVAD) insertion is a life-saving procedure that is being increasingly used in patients with advanced heart failure. However, patients with CF-LVADs are at an increased risk of gastrointestinal bleeding (GIB). Bleeding can occur anywhere in the GI tract with lesions being more prevalent in the upper GI tract than in the lower GI tract. The patho...

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Gastrointestinal angiodysplasia is associated with significant gastrointestinal bleeding in patients with continuous left ventricular assist devices

BACKGROUND AND STUDY AIMS Patients with a continuous-flow left ventricular assist device (LVAD) have a 65 % incidence of bleeding events within the first year. The majority of gastrointestinal bleeding (GIB) is from gastrointestinal angiodyplasia (GIAD). The primary aim of the study was to determine whether GIAD was associated with a higher rate of significant bleeding, an increased number of b...

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ژورنال

عنوان ژورنال: JACC: Heart Failure

سال: 2015

ISSN: 2213-1779

DOI: 10.1016/j.jchf.2014.11.008