Off-Pump Continuous-Flow Left Ventricular Assist Device Implantation
Author(s) -
Ismael A. Salas de Armas,
Jayeshkumar Patel,
Mehmet H. Akay,
Manish Kumar Patel,
Keshava Rajagopal,
Mehmet Karabulut,
Biswajit Kar,
Igor D. Gregorič
Publication year - 2021
Publication title -
texas heart institute journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.373
H-Index - 53
eISSN - 1526-6702
pISSN - 0730-2347
DOI - 10.14503/thij-19-7033
Subject(s) - medicine , ventricular assist device , cardiopulmonary bypass , continuous flow , perioperative , cardiology , heart failure , heart transplantation , destination therapy , transplantation , surgery , physics , mechanics
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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