Imperial College London
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ProfessorRoxySenior

Faculty of Medicine, National Heart & Lung Institute

Professor of Clinical Cardiology
 
 
 
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Contact

 

+44 (0)20 7351 8635r.senior

 
 
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Location

 

Chelsea WingRoyal Brompton Campus

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Summary

 

Publications

Citation

BibTex format

@article{Yuan:2021:ehjcr/ytaa485,
author = {Yuan, X and Castro, Verdes M and Li, W and Senior, R and Nienaber, C},
doi = {ehjcr/ytaa485},
journal = {European Heart Journal: Case Reports},
pages = {1--1},
title = {Aortic intervention guided by contrast-enhanced transoesophageal ultrasound while waiting for cardiac transplantation: a case report},
url = {http://dx.doi.org/10.1093/ehjcr/ytaa485},
volume = {5},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: Aortic complications can occur during left ventricular assist devices (LVAD) insertion and its treatment remains challenging. Percutaneous aortic interventions can be an alternative to surgery in such high-risk cases. Case summary: We present a patient with idiopathic dilated cardiomyopathy and advanced heart failure requiring LVAD insertion as a bridge to transplant, who developed an aortic pseudoaneurysm below the anastomosis of the LVAD tube. He was treated by percutaneously coiling under contrast-enhanced transoesophageal echocardiographic (TOE) guidance and safely reached destination (heart transplantation) a year later. Discussion: LVADs provide haemodynamic support for patients with advanced heart failure waiting for heart transplantation. Although uncommon, aortic complications can develop after LVAD insertion and are life-threatening. Percutaneous aortic interventions are feasible in such cases to promote thrombosis and shrinkage of aneurysmal spaces, hence potentially reducing the risk of sudden death. Contrast-enhanced TOE can be easily and safely used to both monitor the intervention by improving anatomic target definition, guide and wire positioning, and assess early results.
AU  - Yuan,X
AU  - Castro,Verdes M
AU  - Li,W
AU  - Senior,R
AU  - Nienaber,C
DO  - ehjcr/ytaa485
EP  - 1
PY  - 2021///
SN  - 2514-2119
SP  - 1
TI  - Aortic intervention guided by contrast-enhanced transoesophageal ultrasound while waiting for cardiac transplantation: a case report
T2  - European Heart Journal: Case Reports
UR  - http://dx.doi.org/10.1093/ehjcr/ytaa485
UR  - https://academic.oup.com/ehjcr/article/5/1/ytaa485/6032208
UR  - http://hdl.handle.net/10044/1/83418
VL  - 5
ER  -
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