| Issue |
J Extra Corpor Technol
Volume 43, Number 1, March 2011
|
|
|---|---|---|
| Page(s) | 26 - 29 | |
| DOI | https://doi.org/10.1051/ject/201143026 | |
| Published online | 15 March 2011 | |
Case Report
Thromboelastograph Guided Management of a Patient Requiring Abiomed Biventricular Support with Consumptive Coagulopathy
Firelands Regional Medical Center, Sandusky, Ohio
Address correspondence to: Darshit A. Gandhi, BS, Perfusionist, Perfusion Department, Firelands Regional Medical Center, 1111 Hayes Avenue, Sandusky, OH 44870. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Received:
19
April
2010
Accepted:
26
December
2010
Abstract
A 69-year-old male, who underwent cardio-pulmonary bypass surgery, required biventricular support using the Abiomed. The patient subsequently developed a consumptive coagulopathy. The thromboelastograph was used to administer NovoSeven and guide allogenic transfusions to achieve a hematocrit of greater than 30% and a platelet count greater than 100,000 per μL. Disseminated intravascular coagulation was resolved and the patient was transported to a tertiary care center within 72 hours. The Abiomed BVS 5000 provided a bridge to the native heart recovery and was successfully explanted.
Key words: cardiac surgery / thromboelastograph / ventricular assist device / Abiomed BVS 5000 / NovoSeven / v-curve
Presented at 48th International Convention of the American Society of ExtraCorporeal Technology, Reno, Nevada, May 1, 2010.
The senior author has stated that authors have reported no material, financial, or other relationship with any healthcare-related business or other entity whose products or services are discussed in this paper.
© 2011 AMSECT
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