Less invasive HeartMate 3 left ventricular assist device implantation
Status PubMed-not-MEDLINE Jazyk angličtina Země Čína Médium print
Typ dokumentu časopisecké články
PubMed
30034840
PubMed Central
PMC6035962
DOI
10.21037/jtd.2018.01.26
PII: jtd-10-S15-S1692
Knihovny.cz E-zdroje
- Klíčová slova
- HeartMate 3, Less-invasive, implantation, left ventricular assist device (LVAD),
- Publikační typ
- časopisecké články MeSH
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.
Department of Cardiac Surgery German Heart Centre Berlin Germany
Institute for Clinical and Experimental Medicine Prague Czech Republic
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