TY - JOUR
T1 - Lower gastrointestinal bleeding diagnosed by red blood cell scintigraphy in a patient with a left ventricular assist device
AU - Tulchinsky, Mark
PY - 2008/12/1
Y1 - 2008/12/1
N2 - A patient with ischemic congestive heart failure, managed with a left ventricular assist device (LVAD) as a bridge to cardiac transplantation, developed hematochezia. This article illustrates the utility of Tc-99m-labeled red blood cell scintigraphy for identification of the lower gastrointestinal bleeding site in a patient with LVAD. The study initially showed a normal biodistribution of radiotracer, with expected activity in the sac of the LVAD and its cannulae, and later identified the bleeding from the sigmoid, permitting selective angiography and therapeutic embolization. There is a prior limited illustration of red blood cell scintigraphy in the presence of LVAD.
AB - A patient with ischemic congestive heart failure, managed with a left ventricular assist device (LVAD) as a bridge to cardiac transplantation, developed hematochezia. This article illustrates the utility of Tc-99m-labeled red blood cell scintigraphy for identification of the lower gastrointestinal bleeding site in a patient with LVAD. The study initially showed a normal biodistribution of radiotracer, with expected activity in the sac of the LVAD and its cannulae, and later identified the bleeding from the sigmoid, permitting selective angiography and therapeutic embolization. There is a prior limited illustration of red blood cell scintigraphy in the presence of LVAD.
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U2 - 10.1097/RLU.0b013e31818bf522
DO - 10.1097/RLU.0b013e31818bf522
M3 - Article
C2 - 19033786
AN - SCOPUS:58749114586
VL - 33
SP - 856
EP - 858
JO - Clinical Nuclear Medicine
JF - Clinical Nuclear Medicine
SN - 0363-9762
IS - 12
ER -