Transaxillary Stenting of LVAD Outflow Graft Obstruction.
An 82-year-old man with a HeartMate II left ventricular assist device presented with low-flow alarms and cardiogenic shock secondary to left ventricular assist device outflow graft obstruction. Given high risk for redo sternotomy, the heart team decided on percutaneous intervention with peripheral stents, a procedure that is currently limited to case reports. (Level of Difficulty: Advanced.).
['Dreessens|Erin|E|', 'Cox|Justin|J|', 'Ramsey|Jack|J|', 'Uyeda|Ensley|E|', 'Adamson|Robert|R|', 'Jaski|Brian|B|', 'Narula|Arvin|A|']
left ventricular assist device percutaneous intervention INR, international normalized ratio IVUS IVUS, intravascular ultrasound LVAD stenting LVAD, left ventricular assist device OGO, outflow graft obstruction PTFE, polytetrafluoroethylene advanced heart failure computed tomographic angiography