Title |
Hemorrhoids screening and treatment prior to LVAD: is it a necessity?
|
---|---|
Published in |
Journal of Cardiothoracic Surgery, April 2016
|
DOI | 10.1186/s13019-016-0441-z |
Pubmed ID | |
Authors |
Hadi Skouri, Mohammed Shurrab, Jad Zahnan, Samer Deeba, Pierre Sfeir, Walid Gharzuddin, Saleem Haj-Yahia |
Abstract |
Continuous-flow left ventricle assist devices (CF-LVADs) has become an essential modality in the management of stage D heart failure (HF) with significant improvement in survival and quality of life. Due to the durability of such devices and long term support complications such as bleeding and aortic insufficiency has emerged. Bleeding accounts for more than 20 % with the majority being from the gastrointestinal tract. The increase of bleeding tendency are mainly attributed to the loss of large von Willebrand's Factor (vWF) multimers due to shear stress with the chronic intake of anticoagulants. We are reporting two cases of patients with Stage D HF and history of hemorrhoids presenting for LVAD implantation. Many efforts that decrease bleeding related to CF-LVADs will be discussed with focus on hemorrhoids. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 26 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 3 | 12% |
Student > Postgraduate | 3 | 12% |
Student > Bachelor | 2 | 8% |
Professor | 2 | 8% |
Student > Doctoral Student | 2 | 8% |
Other | 6 | 23% |
Unknown | 8 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 8 | 31% |
Nursing and Health Professions | 3 | 12% |
Psychology | 3 | 12% |
Biochemistry, Genetics and Molecular Biology | 1 | 4% |
Unknown | 11 | 42% |