Table 1.
Case | Age/Gender | STMCS Device | Indication for VWD Workup | Blood Products Used During STMCS | HMWMs (%) | IMWMs (%) | LMWMs (%) | VWF Ag | VWF Activity | F8 | Device Outcome |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 59/M | Impella 5.0 | Hemoptysis | None | 3 | 46 | 51 | Removed; OHT | |||
2 | 40/F | Impella 5.0 | Epistaxis | 10 PRBCs | 4 | 59 | 37 | Removed; OHT | |||
3 | 69/M | ECMO | Hemoptysis | 16 PRBCs, 1 FFP, 5 platelets | 4 | 61 | 34 | 229 | 157 | 346 | Removed; LVAD |
4 | 73/M | Impella 5.0 | Hemoptysis | None | 3 | 60 | 37 | 222 | 210 | 318 | Removed; OHT |
5 | 56/M | ECMO | ↓ Hgb | None | 6 | 60 | 34 | Expired | |||
6 | 72/M | ECMO | ↓ Hgb | 2 PRBCs | 3 | 59 | 38 | 400 | 252 | 366 | Removed; RVAD |
7 | 60M | ECMO | GI bleed | 5 PRBCs, 4 FFPs, 3 Platelets, 1 cryo | 5 | 62 | 33 | 118 | 96 | 108 | Removed |
8 | 37/M | Impella 5.0 | Epistaxis | None | 4 | 49 | 47 | 291 | 237 | 434 | Removed; OHT |
9 | 57/M | Impella 5.0, RVAD | GI bleed | 7 PRBCs, 2 platelets | 2 | 52 | 46 | Expired | |||
10 | 40/M | Impella 5.0 | ↓ Hgb | 3 PRBCs | 2 | 52 | 46 | Expired | |||
11 | 74/M | Impella 5.0, RVAD | ↓ Hgb | 10 PRBCs, 1 platelets | 5 | 60 | 35 | Expired | |||
12 | 57/F | Impella 5.0 | GI bleed | 10 PRBCs | 2 | 59 | 38 | Removed | |||
13 | 57/F | Impella CP | ↓ Hgb | 2 PRBCs, 3 FFPs | 3 | 64 | 33 | 400 | 261 | 372 | Expired |
14 | 40/F | Impella 5.0 | ↓ Hgb | None | 5 | 59 | 37 | Removed; LVAD | |||
15 | 66/M | ECMO | ↓ Hgb | 12 PRBCs | 2 | 60 | 38 | 201 | 141 | 210 | Removed |
16 | 30/M | Impella 5.0 | GI bleed | 7 PRBCs, 5 FFPs, 1 platelets | 5 | 61 | 34 | 268 | 67 | 210 | Removed |
17 | 67/M | Impella 5.0 | ↓ Hgb | 11 PRBCs, 6 FFPs, 1 platelet | 4 | 62 | 34 | 400 | 330 | 714 | Expired |
18 | 50/M | Impella 5.0 | ↓ Hgb | 2 PRBCs, 1 FFP | 2 | 56 | 43 | 400 | 460 | 410 | Removed |
Ag, antigen; Cryo, cryoprecipitate; ECMO, extracorporeal membrane oxygenation; F, female; FFPs, fresh frozen plasma; GI, gastrointestinal; Hgb, hemoglobin; HMWMs, high molecular weight multimers; IMWM, intermediate molecular weight multimers; LMWMs, low molecular weight multimers; LVAD, left ventricular assist device; M, male; OHT, orthotopic heart transplantation; PRBCs, packed red blood cells; RVAD, right ventricular assist device; STMCS, short-term mechanical support; VWD, von Willebrand disease; VWF, von Willebrand factor.