PLAT and infection: While LVAD exchange is associated with invasiveness and a re-do procedure, connoting prolonged recovery periods and the risk of remaining detriments such as infection, organ injury or failure [4, 8], in cases of high perioperative risk or to avoid re-do procedures in patients awaiting heart transplantation, thrombolysis therapy with tissue plasminogen activator (t-PA) may be an alternative [7].