Minimally Invasive Left Ventricular Assist Device Explantation After Cardiac Recovery: Surgical Technical Considerations

2013 ◽  
Vol 38 (6) ◽  
pp. 507-510 ◽  
Author(s):  
Jan D. Schmitto ◽  
Sebastian V. Rojas ◽  
Jasmin S. Hanke ◽  
Murat Avsar ◽  
Axel Haverich
Keyword(s):  
Minimally Invasive ◽  
Left Ventricular Assist Device ◽  
Ventricular Assist Device ◽  
Left Ventricular ◽  
Assist Device ◽  
Ventricular Assist ◽  
Cardiac Recovery ◽  
Surgical Technical ◽  
Left Ventricular Assist ◽  
Technical Considerations

Minimally Invasive Left Ventricular Assist Device Insertion Facilitates Subsequent Heart Transplant

2021 ◽  
pp. 155698452098040
Author(s):  
Joseph Rabin ◽  
Luke A. Ziegler ◽  
Sarah Cipriano ◽  
Ronson J. Madathil ◽  
Erika D. Feller ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Left Ventricular Assist Device ◽  
Heart Transplant ◽  
Ventricular Assist Device ◽  
Cardiac Transplantation ◽  
Left Ventricular ◽  
Assist Device ◽  
Ventricular Assist ◽  
Ischemic Time ◽  
Left Ventricular Assist

Objective We have observed that minimally invasive left ventricular assist device (LVAD) insertion leads to more facile re-entry and easier cardiac transplantation. We hypothesize minimally invasive LVAD implantation results in improved outcomes at the time of subsequent heart transplant. Methods All adults undergoing cardiac transplantation between October 2015 and March 2019 at our institution were retrospectively reviewed. Those bridged to transplantation with a HeartWare HVAD were identified and divided into 2 cohorts based upon the surgical approach: those who underwent HVAD placement by conventional sternotomy versus minimally invasive insertion via lateral thoracotomy and hemisternotomy (LTHS). Patient demographics, as well as perioperative transplant outcomes, including survival, length of stay (LOS), blood utilization, ischemic time, bypass time, and postoperative extracorporeal membrane oxygenation (ECMO) were compared between cohorts. Results Forty-two patients were bridged to heart transplant with a HVAD implanted via either sternotomy ( n = 22) or LTHS technique ( n = 20). Demographics were similar between groups. There was 1 predischarge death in the sternotomy group and none in the LTHS group. Body surface area, cardiopulmonary bypass time, ischemic time, ECMO utilization, and reoperation for bleeding were similar. Red blood cell units transfused were significantly lower in the LTHS cohort (3.0 [1.0-5.0] vs 6.0 [2.5-10.0] P = 0.046). The LTHS cohort had a significantly shorter hospital LOS (12.0 [11.0-28.0] vs 22.5 [15.7-41.7] P = 0.022) with a trend toward shorter intensive care unit LOS (6.0 [5.0-10.5] vs 11.0 [6.0-21.5] days P = 0.057). Conclusions Minimally invasive HVAD implantation improves outcomes at subsequent heart transplantation, resulting in shorter LOS and less red cell transfusion. Larger multi-institutional studies are necessary to validate these findings.

Minimally invasive left ventricular assist device (LVAD) implantation in a patient on extracorporeal LVAD

ASVIDE ◽  
2020 ◽  
Vol 7 ◽  
pp. 304-304
Author(s):  
Jun Ho Lee ◽  
Ilkun Park ◽  
Heemoon Lee ◽  
Kiick Sung ◽  
Young Tak Lee ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Left Ventricular Assist Device ◽  
Ventricular Assist Device ◽  
Left Ventricular ◽  
Assist Device ◽  
Ventricular Assist ◽  
Left Ventricular Assist
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