Less invasive HeartMate 3 left ventricular assist device implantation

. 2018 Jun ; 10 (Suppl 15) : S1692-S1695.

Status PubMed-not-MEDLINE Jazyk angličtina Země Čína Médium print

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid30034840

BACKGROUND: The novel HeartMate 3 (Abbott, Chicago, IL, USA) left ventricular assist device (LVAD) was worldwide first implanted by Prof. Schmitto and his team in 2014 at the Hannover Medical School, Germany and received CE Mark approval in October, 2015 following completion of a clinical trial. METHODS: Although HeartMate 3 implantation in the clinical trial was restricted to conventional sternotomy, the small size of the pump allows for less-invasive implantation, generally associated with less trauma and reduced perioperative complication rates. Herein we describe our first experiences with a less-invasive implantation of the HeartMate 3 using an upper hemi-sternotomy combined with anterior lateral thoracotomy approach. RESULTS: Results demonstrate the feasibility of this novel, less invasive technique for HeartMate 3 LVAD implantation with diminished surgical trauma, less postoperative bleeding, maintenance of the chest stability, reduced need of blood product transfusion and earlier recovery. CONCLUSIONS: The results of our study indicate that less-invasive implantation of the HeartMate 3 is technically feasible and offers several benefits for surgical outcome and may become the standard of care for LVAD implantation techniques.

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Schmitto JD, Hanke JS, Rojas SV, et al. First implantation in man of a new magnetically levitated left ventricular assist device (HeartMate III). J Heart Lung Transplant 2015;34:858-60. 10.1016/j.healun.2015.03.001 PubMed DOI

Schmitto JD, Molitoris U, Haverich A, et al. Implantation of a centrifugal pump as a left ventricular assist device through a novel, minimized approach: upper hemisternotomy combined with anterolateral thoracotomy. J Thorac Cardiovasc Surg 2012;143:511-3. 10.1016/j.jtcvs.2011.07.046 PubMed DOI

Netuka I, Sood P, Pya Y, et al. Fully magnetically levitated left ventricular assist system for treating advanced HF: a multicenter study. J Am Coll Cardiol 2015;66:2579-89. 10.1016/j.jacc.2015.09.083 PubMed DOI

Hanke JS, Krabatsch T, Rojas SV, et al. In vitro evaluation of inflow cannula fixation techniques in left ventricular assist device surgery. Artif Organs 2017;41:272-5. 10.1111/aor.12735 PubMed DOI

Haberl T, Riebandt J, Mahr S, et al. Viennese approach to minimize the invasiveness of ventricular assist device implantation. Eur J Cardiothorac Surg 2014;46:991-6; discussion 996. 10.1093/ejcts/ezu051 PubMed DOI

Schmitto JD, Rojas SV, Hanke JS, et al. Minimally invasive left ventricular assist device explantation after cardiac recovery: surgical technical considerations. Artif Organs 2014;38:507-10. 10.1111/aor.12201 PubMed DOI

Schulz A, Stepanenko A, Krabatsch T. HeartMate 3 implantation via left lateral thoracotomy with outflow graft anastomosis to the descending aorta. J Heart Lung Transplant 2016;35:690-2. 10.1016/j.healun.2016.01.004 PubMed DOI

Schmitto JD, Hanke JS, Rojas S, et al. Circulatory support exceeding five years with a continuous-flow left ventricular assist device for advanced heart failure patients. J Cardiothorac Surg 2015;10:107. 10.1186/s13019-015-0306-x PubMed DOI PMC

Zimpfer D, Netuka I, Schmitto JD, et al. Multicentre clinical trial experience with the HeartMate 3 left ventricular assist device: 30-day outcomes. Eur J Cardiothorac Surg 2016;50:548-54. 10.1093/ejcts/ezw169 PubMed DOI

Krabatsch T, Netuka I, Schmitto JD, et al. Heartmate 3 fully magnetically levitated left ventricular assist device for the treatment of advanced heart failure -1 year results from the Ce mark trial. J Cardiothorac Surg 2017;12:23. 10.1186/s13019-017-0587-3 PubMed DOI PMC

Schmitto JD, Pya Y, Zimpfer D, et al. HeartMate 3 Fully Magnetically Levitated Left Ventricular Assist Device for the Treatment of Advanced Heart Failure - CE Mark Study 2-Year Results. J Heart Lung Transplant 2017;36:S66 10.1016/j.healun.2017.01.162 PubMed DOI PMC

Feldmann C, Chatterjee A, Hanke JS, et al. Novel centrifugal pump for heart failure patients: initial success and future challenges. J Thorac Dis 2017;9:1429-31. 10.21037/jtd.2017.05.68 PubMed DOI PMC

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