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Case Reports
. 2023 Jun 28;2023(6):rjad246.
doi: 10.1093/jscr/rjad246. eCollection 2023 Jun.

A novel method of transapical ProtekDuo rapid deployment cannula as temporary left ventricular assist device

Harish Ravipati  1 , Nishank P Nooli  2 , Charles W Hoopes  3 , Enrique Gongora  3 , Britt McILwain  3 , Charles M Tyndal  3 , Erik J Orozco-Hernandez  3
Affiliations
Case Reports

A novel method of transapical ProtekDuo rapid deployment cannula as temporary left ventricular assist device

Harish Ravipati et al. J Surg Case Rep. .

Abstract

Peripheral extracorporeal membrane oxygenation (ECMO) is one of the most common strategies for cardiogenic shock. ECMO cannulation is associated with an increased risk of complications. We describe a minimally invasive, off-pump technique to provide adequate hemodynamic support and left ventricular unloading. A 54-year-old male with nonischemic cardiomyopathy and severe peripheral vascular disease with cardiogenic shock was initially supported with inotropes and an intra-aortic balloon pump. Despite continued support, he continued to deteriorate, and we escalated to a temporary left ventricular support with a CentriMag, using a transapical ProtekDuo Rapid Deployment cannula via mini left-thoracotomy. This approach provides adequate hemodynamic support, left ventricular unloading and early ambulation. After 9 days, the patient's functional status was improved and was medically optimized. The patient received a left ventricular assist device as destination therapy. He was discharged home, resumed his normal activities and has been doing well for more than 27 months.

Keywords: Cardiogenic shock; mechanical circulatory support; transapical ProtekDuo.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
(A) Sterile hemostatic red cap from a 21 Fr Edwards Thruport EndoReturn arterial cannula; (B) Ethibond suture
Figure 2
Figure 2
(A) Modified CentriMag™ apical sewing ring; (B) apical access of ProtekDuo RD with Hollister devices
See this image and copyright information in PMC

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