It was reported that the patient passed away due to cardio-pulmonary arrest with a subdural hematoma (sdh).The outcome was not considered device or therapy-related.The device will not be returned for evaluation.Additional information revealed the cause of death was due to acute change in neuro exam with loc after the last computed tomography (ct) scan.Head ct showed a large 2 cm holohemispheric sdh as well as evidence of uncal herniation displacing the midbrain rightward, extensive neurosurgical discussion with healthcare proxy who also contacted additional proxy and family with their decision to not pursue surgery given their poor neurological prognosis.The patient had a middle cerebral arterial (mca) infarction with hemorrhagic transformation as well as an ischemic anterior cerebral artery (aca) infarction.The patient received a 21 on the national institute of health stroke score (nihss), due to all of their extremities falling to the bed, left-sided low facial droop, and mute and expressive aphasia.A healthcare proxy and family reached a consensus to pursue terminal extubation with discontinuation of left ventricular assist device (lvad) support was also consistent with the patient's previous wishes and they expired shortly after.
|