{"id":29511,"date":"2019-04-13T00:38:14","date_gmt":"2019-04-13T00:38:14","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=29511"},"modified":"2022-11-11T14:33:04","modified_gmt":"2022-11-11T09:03:04","slug":"gi-bleed-with-continuous-flow-lvad-mechanisms","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/gi-bleed-with-continuous-flow-lvad-mechanisms\/","title":{"rendered":"GI bleed with Continuous flow LVAD &#8211; Mechanisms"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/sBbXkdoE85E\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">GI bleed with Continuous flow LVAD &#8211; Mechanisms<\/span><\/h2>\n<p>Gastrointestinal bleeds can occur in 15-40% of patients on continuous flow left ventricular assist devices (LVAD) for end stage heart failure. Proposed mechanisms for gastrointestinal bleeds with continuous flow LVAD includes:<\/p>\n<ol>\n<li id=\"p-7\">Acquired von Willebrand disease<\/li>\n<li>Impaired platelet aggregation<\/li>\n<li>Enhanced angiogenesis causing arteriovenous malformations (AVM)<\/li>\n<li>Intensity of anticoagulation<\/li>\n<\/ol>\n<p>AVMs may contribute to about half of the GI bleed with continuous flow LVADS. Hypoperfusion of gastrointestinal mucosa leads to angiogenesis and the new friable vessels are prone for bleeding [1].<\/p>\n<p><strong><span style=\"color: #0000ff;\">Reference<\/span><\/strong><\/p>\n<ol>\n<li>Guha A, Eshelbrenner CL, Richards DM, Monsour HP Jr. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25793026\">Gastrointestinal bleeding after continuous-flow left ventricular device implantation: review of pathophysiology and management<\/a>. Methodist Debakey Cardiovasc J. 2015 Jan-Mar;11(1):24-7.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>GI bleed with Continuous flow LVAD &#8211; Mechanisms Gastrointestinal bleeds can occur in 15-40% of patients on continuous flow left ventricular assist devices (LVAD) for end stage heart failure. Proposed mechanisms for gastrointestinal bleeds with continuous flow LVAD includes: Acquired von Willebrand disease Impaired platelet aggregation Enhanced angiogenesis causing arteriovenous malformations (AVM) Intensity of anticoagulation [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":29512,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[22],"tags":[],"class_list":["post-29511","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiac-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GI bleed with Continuous flow LVAD - Mechanisms - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/gi-bleed-with-continuous-flow-lvad-mechanisms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"GI bleed with Continuous flow LVAD - Mechanisms - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"GI bleed with Continuous flow LVAD &#8211; Mechanisms Gastrointestinal bleeds can occur in 15-40% of patients on continuous flow left ventricular assist devices (LVAD) for end stage heart failure. Proposed mechanisms for gastrointestinal bleeds with continuous flow LVAD includes: Acquired von Willebrand disease Impaired platelet aggregation Enhanced angiogenesis causing arteriovenous malformations (AVM) Intensity of anticoagulation [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/gi-bleed-with-continuous-flow-lvad-mechanisms\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2019-04-13T00:38:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-11-11T09:03:04+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/gi-bleed-with-continuous-flow-lvad-mechanisms\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/gi-bleed-with-continuous-flow-lvad-mechanisms\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"GI bleed with Continuous flow LVAD &#8211; 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