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Management of patients with the Intravascular Ventricular Assist System (iVAS) for non-cardiac surgery


Department of Anesthesiology, University of Minnesota School of Medicine, B515 Mayo Memorial Building, MMC 294, 420 Delaware Street, SE, Minneapolis, MN, USA

Correspondence Address:
Sathappan Karuppiah
Department of Anesthesiology, University of Minnesota School of Medicine, B515 Mayo Memorial Building, MMC 294, 420 Delaware Street, SE, Minneapolis, MN 55455
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_53_21

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Year : 2022  |  Volume : 25  |  Issue : 3  |  Page : 349-352

 

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Intravascular ventricular assist system (iVAS) is an investigative device in clinical trials for the management of advanced heart failure. It works on the principle of counterpulsation, similar to the classic intra-aortic balloon counterpulsation (IABP). We present a case of a 66-year-old man with iVAS in situ who required emergency laparotomy for a strangulated umbilical hernia. Patients with mechanical circulatory devices (MCD) are presenting more frequently for emergency and even elective noncardiac operations. Managing such patients poses significant challenges to the perioperative team due to its novelty and paucity of management recommendations.






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Department of Anesthesiology, University of Minnesota School of Medicine, B515 Mayo Memorial Building, MMC 294, 420 Delaware Street, SE, Minneapolis, MN, USA

Correspondence Address:
Sathappan Karuppiah
Department of Anesthesiology, University of Minnesota School of Medicine, B515 Mayo Memorial Building, MMC 294, 420 Delaware Street, SE, Minneapolis, MN 55455
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_53_21

Rights and Permissions

Intravascular ventricular assist system (iVAS) is an investigative device in clinical trials for the management of advanced heart failure. It works on the principle of counterpulsation, similar to the classic intra-aortic balloon counterpulsation (IABP). We present a case of a 66-year-old man with iVAS in situ who required emergency laparotomy for a strangulated umbilical hernia. Patients with mechanical circulatory devices (MCD) are presenting more frequently for emergency and even elective noncardiac operations. Managing such patients poses significant challenges to the perioperative team due to its novelty and paucity of management recommendations.






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