Off-Pump Continuous-Flow Left Ventricular Assist Device Implantation

Continuous-flow left ventricular assist device implantation is the typical treatment for end-stage heart failure. Improvements in device engineering and technology, surgical experience and technique, and perioperative management have advanced the field, and short-term results approach those of heart...

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Bibliographic Details
Published inTexas Heart Institute journal Vol. 48; no. 1
Main Authors Salas De Armas, Ismael A., Patel, Jayeshkumar A., Akay, Mehmet H., Patel, Manish K., Rajagopal, Keshava, Karabulut, Mehmet N., Kar, Biswajit, Gregoric, Igor D.
Format Journal Article
LanguageEnglish
Published United States Texas Heart® Institute, Houston 01.01.2021
Subjects
Techniques
equipment design
postoperative complications/prevention & control
heart-assist devices
prosthesis implantation/methods
treatment outcome
Cardiopulmonary bypass/adverse effects
heart failure/surgery
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Summary:Continuous-flow left ventricular assist device implantation is the typical treatment for end-stage heart failure. Improvements in device engineering and technology, surgical experience and technique, and perioperative management have advanced the field, and short-term results approach those of heart transplantation. Further improvements may be achieved by minimizing adverse physiologic effects associated with cardiopulmonary bypass. Therefore, we have developed an off-pump implantation approach for continuous-flow left ventricular assist devices. We detail our surgical technique for off-pump implantation of the HeartWare device.
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ISSN:0730-2347
1526-6702
1526-6702
DOI:10.14503/THIJ-19-7033