[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-416289-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-416289-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","successful-invasive-treatment-of-stroke-in-a-patient-with-a-left-ventricle-assist-device-case-report","Successful invasive treatment of stroke in a patient with a left ventricle assist device - case report","","A case of ischemic stroke treated invasively in a patient with heart failure supported by an implanted left ventricle assist device (LVAD) is presented, focusing on suspected stroke-related risk factors. A 58-year-old patient experienced AF episodes falsely detected as ventricular fibrillation by an ICD, leading to unnecessary shocks and subsequent true VF events. Twelve hours after ICU admission, mechanical thrombectomy of an occluded right MCA achieved favorable results.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/successful-invasive-treatment-of-stroke-in-a-patient-with-a-left-ventricle-assist-device-case-report/416289/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/successful-invasive-treatment-of-stroke-in-a-patient-with-a-left-ventricle-assist-device-case-report/416289.png","ImageObject",300,407,{"name":42,"@type":43},"Dipper","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What factors likely contributed to the stroke in this LVAD patient?","Question",{"text":63,"@type":64},"The report highlights heart failure and implantation of a left ventricle assist device (LVAD) as accompanying risk factors. It also discusses atrial fibrillation with ICD-related events preceding the stroke.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was the stroke diagnosed after ICU admission?",{"text":68,"@type":64},"Twelve hours after admission, the patient developed stroke symptoms. Immediate CT and angio-CT confirmed occlusion of the right middle cerebral artery (RMCA).",{"name":70,"@type":61,"acceptedAnswer":71},"What treatment was performed and how effective was it?",{"text":72,"@type":64},"The patient was transferred for invasive treatment and qualified for mechanical thrombectomy. Post-procedure reperfusion reached TICI 3, and the report notes good overall results despite later hemorrhagic foci on follow-up CT.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},416289,1790739695,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":107,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144,"preview_page_count":4},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","CASE REPORT  \nCorrespondence to:  \nAnna Konopka  \nDepartment of Intensive Cardiac Therapy National Institute of Cardiology  \n42 Alpejska St.  \n04-628 Warsaw, Poland  \ne-mail: [akonopka@ptkardio.pl](akonopka@ptkardio.pl)  \nSubmitted: 12.03.2025  \nAccepted: 09.07.2025  \nAdv Psychiatry Neurol 2025; 34 (4): 307-313 DOI: [https://doi.org/10.5114/ppn.2025.156792](https://doi.org/10.5114/ppn.2025.156792)  \nSuccessful invasive treatment of stroke in a patient with a left ventricle assist device – case report  \nAnna Konopka 1 ID , Halina Sienkiewicz-Jarosz 2 ID , Marzena Ułamek-Kozioł 2 ID ,  \nMałgorzata Misztal-Ogonowska 3 , Elżbieta Smaga 4 , Ilona Michałowska 5  \n1 Department of Intensive Cardiac Therapy, National Institute of Cardiology, Warsaw, Poland  \n2 1st Neurological Department, Institute of Psychiatry and Neurology, Warsaw, Poland  \n3 Department of Valvular Heart Disease, National Institute of Cardiology, Warsaw, Poland  \n4 Neurology Consultant, National Institute of Cardiology, Warsaw, Poland  \n5 Department of Radiology, National Institute of Cardiology, Warsaw, Poland  \nAbstract ~~  ~~Purpose: The article presents a case of invasively treated stroke in a patient with heart failure (HF) and implanted left ventricle assist device (LVAD), and risk factors suspected as the reasons behind the stroke.  \nCase description: A 58-year-old patient with HF supported with LVAD, with atrial fibrillation (AF) and rapid heart rate, was admitted to intensive cardiac care unit due to episodes of AF falsely detected by implantable cardiac defibrillator as ventricular fibrillation (VF), provoking unnecessary defibrillator discharges and episodes of real VF in consequence. Twelve hours after admission, the patient displayed symptoms of stroke and was treated with mechanical thrombectomy of the occluded right middle cerebral artery, with good results.  \nComment: The treatment for stroke in a patient with multiple risk factors, who needed antithrombotic therapy due to LVAD, presented a significant challenge. Fortunately, timely diagnosis of stroke enabled quick invasive treatment with good results.  \nKey words: stroke, thrombectomy, atrial fibrillation, LVAD, invasive treatment.  \nINTRODUCTION  \nThe article presents the case of ischemic stroke in the context of specific accompanying risk, factors such as heart failure and implanted left ventricle assist device (LVAD), and the results of invasive treatment with mechanical thrombectomy (MT) .  \nThe treatment of ischemic stroke in our patient was a significant challenge. In our opinion, due to the increasing number of patients with heart failure, treated with mechanical circulatory support, the description of each case of a successfully treated patient in the acute phase of ischemic stroke is worth circulating among cardiologists and neurologists.  \nCASe DeSCRIpTION  \nA 58-year-old patient with dilated cardiomyopathy, fitted with permanent atrial fibrillation (AF) with implantable cardiac defibrillator (ICD), who underwent LVAD implantation in 2020 due to advanced heart failure as a bridge to heart transplantation, admitted to the intensive cardiac care unit (ICCU) one year after this procedure was performed. The cause of hospitalization was six episodes of AF, falsely detected by ICD as ventricular fibrillation (VF), with subsequent provocation of unnecessary defibrillator discharges and, in consequence, real episodes of VF. The hybrid third-generation centrifugal pump was a mechanism of LVAD functioning. The patient was  \nAnna Konopka, Halina Sienkiewicz-Jarosz, Marzena Ułamek-Kozioł, Małgorzata Misztal-Ogonowska, Elżbieta Smaga, Ilona Michałowska  \nFigure I. A) Computed tomography without contrast – hyperdense right middle cerebral artery (RMCA) . B) Angio-CT – occlusion of RMCA in M1/2 segment. C) VRT (volume rendering technique) . Arrows show pathological lesions  \ntreated with aspirin at a dose of 75 mg and warfarin with INR at admission – 2.36. The power consumption by LVAD was at the level ","cbCaig2GbruNJVA5","https://ap.wps.com/l/cbCaig2GbruNJVA5","pdf",592778,"English","# Abstract\n## Purpose\n## Case description\n## Comment\n# Introduction\n# Case description\n## Initial presentation and imaging\n## Thrombectomy and outcome","[{\"question\":\"What factors likely contributed to the stroke in this LVAD patient?\",\"answer\":\"The report highlights heart failure and implantation of a left ventricle assist device (LVAD) as accompanying risk factors. It also discusses atrial fibrillation with ICD-related events preceding the stroke.\"},{\"question\":\"How was the stroke diagnosed after ICU admission?\",\"answer\":\"Twelve hours after admission, the patient developed stroke symptoms. Immediate CT and angio-CT confirmed occlusion of the right middle cerebral artery (RMCA).\"},{\"question\":\"What treatment was performed and how effective was it?\",\"answer\":\"The patient was transferred for invasive treatment and qualified for mechanical thrombectomy. Post-procedure reperfusion reached TICI 3, and the report notes good overall results despite later hemorrhagic foci on follow-up CT.\"}]","Successful invasive treatment of stroke in a patient with a left ventricle assist device - case report | PDF",1790604879,18]