Off-Pump Continuous-Flow Left Ventricular Assist Device Implantation

Ismael A Salas De Armas; Jayeshkumar A Patel; Mehmet H Akay; Manish K Patel; Keshava Rajagopal; Mehmet N Karabulut; Biswajit Kar; Igor D Gregoric

doi:10.14503/THIJ-19-7033

Off-Pump Continuous-Flow Left Ventricular Assist Device Implantation

Tex Heart Inst J. 2021 Jan 1;48(1):e197033. doi: 10.14503/THIJ-19-7033.

Authors

Ismael A Salas De Armas^{1

2}, Jayeshkumar A Patel^{1

2}, Mehmet H Akay^{1

2}, Manish K Patel^{1

2}, Keshava Rajagopal^{1

2}, Mehmet N Karabulut^{1

2}, Biswajit Kar^{1

2}, Igor D Gregoric^{1

2}

Affiliations

¹ Department of Advanced Cardiopulmonary Therapies and Transplantation, University of Texas Health Science Center at Houston, Houston, Texas.
² Center for Advanced Heart Failure, Memorial Hermann Hospital-Texas Medical Center, Houston, Texas.

Abstract

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.

Keywords: Cardiopulmonary bypass/adverse effects; equipment design; heart failure/surgery; heart-assist devices; postoperative complications/prevention & control; prosthesis implantation/methods; treatment outcome.

Publication types

Technical Report

MeSH terms

Cardiac Surgical Procedures / methods*
Heart Failure / surgery*
Heart-Assist Devices*
Humans
Male
Middle Aged
Prosthesis Implantation / methods*
Retrospective Studies
Treatment Outcome