Continuous-flow left ventricular assist devices and bleeding events: Is there a biological role for decreasing pump speed?

SA Akhter - The Journal of Thoracic and Cardiovascular Surgery, 2016 - jtcvs.org
This study by Kang and co-authors 1 investigates the effect of decreasing HeartMate II
(Thoratec Corporation, Pleasanton, Calif) left ventricular assist device (LVAD; Figure 1) …

[HTML][HTML] Reduced continuous-flow left ventricular assist device speed does not decrease von Willebrand factor degradation

J Kang, DM Zhang, DJ Restle, F Kallel… - The Journal of thoracic …, 2016 - Elsevier
Background Nonsurgical bleeding is a frequent complication of continuous-flow left
ventricular assist device (LVAD) support. Abnormal von Willebrand factor (vWF) metabolism …

The “double whammy” of a continuous-flow left ventricular assist device on von Willebrand factor

JR Hydren, RS Richardson, O Wever-Pinzon… - The Journal of Thoracic …, 2020 - jtcvs.org
Mounting evidence points to both arterial pulsatility and pump shear as factors that may be
responsible for the high incidence of nonsurgical bleeding events observed in patients with …

Quantifying von Willebrand Factor Degradation During Continuous LVAD Support

M Hibino, CD Mazer, S Verma - The Annals of Thoracic …, 2021 - annalsthoracicsurgery.org
While left ventricular assist devices (LVADs) have evolved over the decades, bleeding
complications are still the Achilles' heel. It is well known that supraphysiologic shear stress …

Left ventricular assist device design reduces von Willebrand factor degradation: a comparative study between the HeartMate II and the EVAHEART left ventricular …

CR Bartoli, J Kang, D Zhang, J Howard, M Acker… - The Annals of thoracic …, 2017 - Elsevier
Background Supraphysiologic shear stress from continuous-flow left ventricular assist
devices (LVADs) accelerates von Willebrand factor (vWF) degradation and predisposes …

Do patients with a continuous-flow left ventricular assist device benefit from induced-pulsatility or are we just spinning our wheels?

CR Bartoli, P Atluri - The Journal of Thoracic and Cardiovascular Surgery, 2015 - jtcvs.org
The management of continuous-flow left ventricular assist devices (LVADs) continues to
evolve. Benefits of pulsatile versus nonpulsatile mechanical circulatory support remain an …

Decreased RPM reduces von Willebrand factor degradation with the EVAHEART LVAS: implications for device‐specific LVAD management

CR Bartoli, J Kang, T Motomura - Journal of cardiac surgery, 2020 - Wiley Online Library
Background Continuous‐flow left ventricular assist devices (LVADs) produces
supraphysiologic shear stress that causes von Willebrand factor (VWF) degradation and a …

[HTML][HTML] Management of increased systemic flow requirements in patients with left ventricular assist devices

S Ott, P Lanmüller, G Nersesian, CT Starck… - Annals of …, 2021 - ncbi.nlm.nih.gov
Left ventricular assist devices (LVAD) have become a wellestablished therapy for end-stage
heart failure. Usually, LVAD flows vary between 3.5–6 L/min, regardless of the pump type or …

Science for surgeons: understanding pump thrombogenesis in continuous-flow left ventricular assist devices

AR De Biasi, KB Manning, A Salemi - The Journal of Thoracic and …, 2015 - jtcvs.org
Left ventricular assist devices (LVADs) have emerged as a mainstay, lifesaving treatment
option for patients with refractory heart failure, with 1-and 2-year actuarial survival rates of …

What is the optimal anticoagulation in patients with a left ventricular assist device?

M Rossi, GF Serraino, F Jiritano… - … and Thoracic Surgery, 2012 - academic.oup.com
A best evidence topic in cardiac surgery was written according to a structured protocol. The
question addressed was whether there is an optimal antithrombotic management for …