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Research ArticleORIGINAL RESEARCH

Left Ventricular Assist Device Inflow Cannula Position May Contribute to the Development of HeartMate II Left Ventricular Assist Device Pump Thrombosis

Jay K. Bhama and Aditya Bansal
Ochsner Journal June 2018, 18 (2) 131-135; DOI: https://doi.org/10.31486/toj.17.0070
Jay K. Bhama
1Department of Surgery, University of Iowa Health Care, Iowa City, IA
MD
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  • For correspondence: jay-bhama@uiowa.edu
Aditya Bansal
2Department of Surgery, Ochsner Clinic Foundation, New Orleans, LA
3The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA
MD
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    Figure 1. The angle of the inflow cannula (AIC) as measured on routine chest x-ray demonstrates (A) a normal left ventricular assist device (LVAD) cannula position and angle and (B) an abnormal LVAD cannula position and angle in a patient who required device exchange.
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    Figure 2. Comparison of the median angle of the inflow cannula (AIC) for the entire cohort, the control group, and the pump thrombosis (PT) group.

    aIntergroup (unpaired) comparison P values.

    bIntragroup (paired) comparison P values.

  • Figure 3.
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    Figure 3. Box and whisker plots comparing the median angle of the inflow cannula (AIC) for the control group and the pump thrombosis (PT) group at implant and follow-up. For each group, the thick black line denotes the median, the upper and lower limits of the box denote the first and third quartile, and the bars denote maximum and minimum values.

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    Table. Patient Demographic Data by Group
    VariableControl Group (n = 66)Pump Thrombosis Group (n = 10)P Value
    Mean age, years ± SD57 ± 1551 ± 110.259
    Male sex82%80%1.000
    Mean body mass index, kg/m229 ± 732 ± 70.318
    Etiology of heart failure1.000
     Ischemic36 (55%)5 (50%)
     Nonischemic30 (45%)5 (50%)
    Indication for LVAD implantation0.299
     Bridge to transplant28 (42%)2 (20%)
     Destination therapy/other38 (58%)8 (80%)
    Hematologic disorder1 (2%)0 (0%)1.000
    Duration of device support, days0.734
     Median201327
     25th-75th IQR59-602181-509
     Range2-1,47044-2,036
    • IQR, interquartile range; LVAD, left ventricular assist device.

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Ochsner Journal: 18 (2)
Ochsner Journal
Vol. 18, Issue 2
Jun 2018
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Left Ventricular Assist Device Inflow Cannula Position May Contribute to the Development of HeartMate II Left Ventricular Assist Device Pump Thrombosis
Jay K. Bhama, Aditya Bansal
Ochsner Journal Jun 2018, 18 (2) 131-135; DOI: 10.31486/toj.17.0070

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Left Ventricular Assist Device Inflow Cannula Position May Contribute to the Development of HeartMate II Left Ventricular Assist Device Pump Thrombosis
Jay K. Bhama, Aditya Bansal
Ochsner Journal Jun 2018, 18 (2) 131-135; DOI: 10.31486/toj.17.0070
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Keywords

  • Cannula
  • chest x-ray
  • thrombosis
  • ventricular assist device

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