Publications by authors named "Margaret S Blood"
Article Synopsis
- Vascular complications (VCs) after extracorporeal membrane oxygenation (ECMO) can lead to higher mortality rates, but late VCs occurring after hospital discharge have been less studied.
- In a review of 229 ECMO patients over two years, only 116 survived until discharge, and among them, 7.8% experienced late VCs with a median onset of 150 days post-discharge.
- The most common late VC was infection, with a significant number requiring urgent interventions, including lower extremity arterial revascularization or amputations, and the majority of these complications were associated with patients who had been treated with peripheral veno-arterial ECMO.
Continuous-flow left ventricular assist devices (LVAD) have emerged as the standard of care for advanced heart failure patients requiring long-term mechanical circulatory support. Evidence-based clinical management of LVAD-supported patients is becoming increasingly important for optimizing outcomes. In this state-of-art review, we propose key elements in managing patients supported with the new continuous-flow LVADs.
View Article and Find Full Text PDFManagement of mild to moderate aortic insufficiency in patients with a left ventricular assist device remains controversial. We report 3 patients with aortic insufficiency and pulsatile left ventricular assist devices treated with a central aortic valve coapting suture. Two of the repairs have been durable for more than 1 year and aspirin appears to be sufficient anticoagulation.
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