Rescue plasmapheresis for massive shear stress-induced haemolysis following paravalvular leak closure

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2022, Volume 30, Issue 3 : 108-110

Article

Rescue plasmapheresis for massive shear stress-induced haemolysis following paravalvular leak closure

Couck T.

Budts W.

Claes K.

De Meester P.

Vandenbriele C.

Abstract

Given the increasing use of transcatheter (para)valvular interventions and mechanical circulatory support, haemolysis is becoming a more frequently encountered complication. In this setting, patients should be actively monitored for signs of haemolysis, given the potential major adverse consequences. Although not commonly used, plasmapheresis is a very effective rescue method to remove plasma free haemoglobin from the circulation and preserve renal function while the underlying cause is being addressed, as illustrated in this case report. © 2022, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Haemolysis

Mechanical circulatory support

Plasmapheresis

Valvular interventions

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