Simplified technique for implantation of a left ventricular assist system after previous cardiac operations

Pašić, Miralem; Bergs, Peter; Hennig, Ewald M.; Loebe, Matthias; Weng, Yuguo; Hetzer, Roland

doi:10.1016/s0003-4975(98)01211-9

Cited by 27 publications

(15 citation statements)

References 2 publications

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“…An alternative surgical approach for LVAD insertion via left lateral thoracotomy was used in 6 other re-do patients, as previously described by our working group. 12,13 In addition, in 1 case, the Jarvik 2000 LVAS was inserted off-pump via left lateral thoracotomy in an 80-yearold woman who had had no previous cardiac operations.…”

Section: Results For Lvad Patientsmentioning

confidence: 99%

Outcomes of elective versus emergent permanent mechanical circulatory support in the elderly: A single-center experience

Stepanenko¹,

Potapov²,

Jurmann³

et al. 2010

The Journal of Heart and Lung Transplantation

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Section: Results For Lvad Patientsmentioning

confidence: 99%

Outcomes of elective versus emergent permanent mechanical circulatory support in the elderly: A single-center experience

Stepanenko¹,

Potapov²,

Jurmann³

et al. 2010

The Journal of Heart and Lung Transplantation

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“…With this lateral approach, firstly, the extracorporeal pulsatile Berlin Heart and later the axial pumps MicroMed DeBakey VAD, INCOR, Jarvik 2000, HeartMate II, and Heartware HVAD have been successfully used [29,30].…”

Section: Vads For Permanent Supportmentioning

confidence: 99%

Mechanical Circulatory Support—Results, Developments and Trends

Krabatsch

Schweiger

Stepanenko

et al. 2011

J. of Cardiovasc. Trans. Res.

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The implantation of ventricular assist devices (VADs) is a valuable option in patients with end-stage heart failure. The number of VAD implantations is growing worldwide. Between July 1987 and July 2010, we implanted 1,598 VADs in 1,455 patients. The majority were male (81.0%), and their mean age was 49.4 years (range 0.3-82 years). Indications for implantation were: cardiomyopathy (n = 1,074), post-cardiotomy heart failure (n = 282), acute myocardial infarction (n = 83), graft failure after heart transplantation (n = 64), and others (n = 61). In 55.5%, the VAD implanted was left ventricular, in 39.5% biventricular, and in 4.8% right ventricular. Until 1995, the implanted pumps were mostly pulsatile. Today, however, more than 95% of the implanted VADs are continuous-flow rotary pumps. The average support time was 148.6 days (range 0-1,836 days). The percentage of biventricular VADs has dropped over the years to 20% in 2009. Three hundred forty-seven patients could be successfully bridged to heart transplantation. In 122 patients (8.3%), the device could be explanted after myocardial recovery. In 2009, 31.4% of the patients were implanted for permanent support. During the study period, 521 patients could be discharged home or to a rehabilitation center. Implantation of ventricular assist devices is now an established treatment for patients with both acute and chronic end-stage heart failure. Small implantable left ventricular assist devices of the second and third generation are now broadly employed worldwide, with growing acceptance and decreasing complications. The percentage of biventricular support has dropped over the years to 20%.

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“…In 16 out of the 27 patients (59%) an alternative LVAD implantation technique was used (in 5/6 patients with the Berlin Heart LVAD and in 11/15 patients with the Micromed DeBakey LVAD): after a full left lateral thoracotomy and aided by partial cardiopulmonary bypass instituted via cannulation of the femoral vessels, the LVAD was connected to the left ventricular apex and the outflow was directed towards the descending thoracic aorta ( Fig. 1) [10]. This technique has now been used in our institution in more than 27 patients for implantation of the Berlin Heart Excor pneumatic LVAD alone since 1997 [11].…”

Section: Selection Of Lvadsmentioning

confidence: 99%

Permanent mechanical circulatory support in patients of advanced age

Jurmann

Weng

Drews

et al. 2004

European Journal of Cardio-Thoracic Surgery

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This study reports the first single-center experience of permanent LVAD support in patients of advanced age. For this initial experience, many patients with critical circulatory status and previous cardiac operations were included and a high postoperative mortality rate was encountered among them. Older age and associated multimorbidity are the key determinants rendering the conditions of LVAD therapy for this patient cohort to be different from the bridge-to-transplant experience. The LVADs employed in this study showed different capabilities with regard to long-term support. Our experience shows that permanent mechanical circulatory support does have the potential to evolve as a treatment option in selected elderly patients with end-stage heart failure.

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Simplified technique for implantation of a left ventricular assist system after previous cardiac operations

Cited by 27 publications

References 2 publications

Outcomes of elective versus emergent permanent mechanical circulatory support in the elderly: A single-center experience

Outcomes of elective versus emergent permanent mechanical circulatory support in the elderly: A single-center experience

Mechanical Circulatory Support—Results, Developments and Trends

Permanent mechanical circulatory support in patients of advanced age

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