Temporary Right Ventricular Support Using the Existing Bypass Circuit During LVAD Implantation.

Background: Right-sided heart failure after left ventricular assist device (LVAD) implantation carries high morbidity. We sought to develop a technique for expedient short-term right ventricular (RV) support with the cardiopulmonary bypass (CPB) circuit already in use during the LVAD implantation procedure.

Methods: Patients at high risk for RV failure during LVAD implantation were supported by a modified CPB circuit.

Percutaneous assisted venous return isolated limb perfusion.

Isolated limb perfusion (ILP) is a short term therapy used in conjunction with or without hyperthermia to deliver chemotherapeutic agents to localized areas, thus avoiding the severity of side effects caused by systemic administration. The most common treatment approach is hyperthermic isolated limb perfusion (HILP) with increased oxygenation of the chemotherapeutic perfusate for treatment of melanoma, soft tissue sarcoma, or synovial sarcoma. HILP traditionally involves open surgical dissection and direct cannulation.