TY - JOUR
T1 - Inhaled Tranexamic Acid for the Management of Hemoptysis in a Patient With Right and Left Ventricular Assist Devices
T2 - A Case Report
AU - Patel, Shamik
AU - Angelidis, Ioannis K.
AU - Malsin, Elizabeth S.
AU - Smith, Sean
AU - Pawale, Amit
AU - Budd, Ashley N.
N1 - Publisher Copyright:
Copyright © 2022 International Anesthesia Research Society.
PY - 2022/8/1
Y1 - 2022/8/1
N2 - The use of mechanical circulatory support (MCS) devices continues to expand in cases of refractory cardiogenic shock. Bleeding is one of the most common complications associated with MCS, and management can be challenging due to need for systemic anticoagulation. Significant hemoptysis can be a devastating complication. We describe a case of a patient supported by a right ventricular assist device with an oxygenator and a left ventricular assist device who developed pulmonary hemorrhage that was successfully treated with nebulized tranexamic acid (TXA). Following a 5-day treatment course, bleeding resolved, no adverse side effects were noted, and systemic anticoagulation was resumed.
AB - The use of mechanical circulatory support (MCS) devices continues to expand in cases of refractory cardiogenic shock. Bleeding is one of the most common complications associated with MCS, and management can be challenging due to need for systemic anticoagulation. Significant hemoptysis can be a devastating complication. We describe a case of a patient supported by a right ventricular assist device with an oxygenator and a left ventricular assist device who developed pulmonary hemorrhage that was successfully treated with nebulized tranexamic acid (TXA). Following a 5-day treatment course, bleeding resolved, no adverse side effects were noted, and systemic anticoagulation was resumed.
UR - http://www.scopus.com/inward/record.url?scp=85135597514&partnerID=8YFLogxK
U2 - 10.1213/XAA.0000000000001604
DO - 10.1213/XAA.0000000000001604
M3 - Article
C2 - 35917204
AN - SCOPUS:85135597514
SN - 2575-3126
VL - 16
SP - e01604
JO - A&A practice
JF - A&A practice
IS - 8
ER -