{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:58:11Z","timestamp":1740135491457,"version":"3.37.3"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T00:00:00Z","timestamp":1591747200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T00:00:00Z","timestamp":1591747200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Thromboembolic ischemic stroke (IS) is one of the most feared complications of left ventricular assist device (LVAD) placement and represents a challenge to surgical management because of concomitant anticoagulant therapy.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 39-year-old man presented with cardiogenic shock following an out-of-hospital cardiac arrest. After a period of stabilization, the patient was referred for LVAD placement. Upon recovery from anesthesia, he presented with acute neurological deficits suggestive of IS. A brain computed tomography confirmed the diagnosis, and an emergency decompressive hemicraniectomy (DHC) was performed. Anticoagulation was managed empirically. The patient\u2019s neurological status progressively improved and he was referred for heart transplantation at five months from DHC. One month later, cranioplasty was performed.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>This report suggests an anticoagulation management approach in combination with decompressive craniectomy after IS in a patient with LVAD placement was successful. An optimized anticoagulation management and collaborative team-based practice may contribute to successful outcomes in complex cases.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12872-020-01576-0","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T08:02:44Z","timestamp":1591776164000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Decompressive hemicraniectomy for acute ischemic stroke in a patient implanted with a left ventricular assist device: a case report"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5707-396X","authenticated-orcid":false,"given":"Walid","family":"Oulehri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mircea","family":"Cristinar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gharib","family":"Ajob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandrine","family":"Marguerite","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bob","family":"Heger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e8ne","family":"Cebula","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Kindo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul Michel","family":"Mertes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,6,10]]},"reference":[{"key":"1576_CR1","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1016\/j.transproceed.2018.02.014","volume":"50","author":"V Cestari","year":"2018","unstructured":"Cestari V, Pessoa VL, de Souza Neto JD, Moreira T, Flor\u00eancio R, de Vasconcelos GG, et al. Clinical evolution of patients using ventricular assist devices as a bridge for transplantation. Transplant Proc. 2018;50:796\u2013803.","journal-title":"Transplant Proc"},{"key":"1576_CR2","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1016\/j.healun.2016.12.010","volume":"36","author":"JA Frontera","year":"2017","unstructured":"Frontera JA, Starling R, Cho S-M, Nowacki AS, Uchino K, Hussain MS, et al. Risk factors, mortality, and timing of ischemic and hemorrhagic stroke with left ventricular assist devices. J Heart Lung Transplant. 2017;36:673\u201383.","journal-title":"J Heart Lung Transplant"},{"key":"1576_CR3","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1111\/jocs.13718","volume":"33","author":"M Bishawi","year":"2018","unstructured":"Bishawi M, Joseph J, Patel C, Schroder J, Daneshmand M, Bowles D, et al. Risk factors for stroke on left ventricular assist devices. J Card Surg. 2018;33:348\u201352.","journal-title":"J Card Surg"},{"key":"1576_CR4","doi-asserted-by":"publisher","first-page":"102","DOI":"10.4103\/2152-7806.135342","volume":"5","author":"MA Raffiq","year":"2014","unstructured":"Raffiq MA, Haspani MS, Kandasamy R, Abdullah J. Decompressive craniectomy for malignant middle cerebral artery infarction: impact on mortality and functional outcome. Surg Neurol Int. 2014;5:102.","journal-title":"Surg Neurol Int"},{"key":"1576_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.healun.2016.10.001","volume":"36","author":"S Maltais","year":"2017","unstructured":"Maltais S, Kilic A, Nathan S, Keebler M, Emani S, Ransom J, et al. PREVENtion of HeartMate II pump thrombosis through clinical management: the PREVENT multi-center study. J Heart Lung Transplant. 2017;36:1\u201312.","journal-title":"J Heart Lung Transplant"}],"container-title":["BMC Cardiovascular Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-020-01576-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12872-020-01576-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-020-01576-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T07:36:43Z","timestamp":1625125003000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmccardiovascdisord.biomedcentral.com\/articles\/10.1186\/s12872-020-01576-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,10]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1576"],"URL":"https:\/\/doi.org\/10.1186\/s12872-020-01576-0","relation":{},"ISSN":["1471-2261"],"issn-type":[{"type":"electronic","value":"1471-2261"}],"subject":[],"published":{"date-parts":[[2020,6,10]]},"assertion":[{"value":"16 August 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 June 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 June 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Written informed consent was obtained from the patient to use this case and any accompanying images for the purpose of journal manuscript publication. A copy of the written consent is available for review by the journal. Ethical approval was not necessary as this is a case study.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written consent for publication was obtained from the patient in this case study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"281"}}