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Complete Sternal-Sparing HeartMate 3 Implantation: A Case Series of 10 Consecutive Patients
- Source :
- The Annals of Thoracic Surgery. 107:1160-1165
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Left ventricular assist device (LVAD) therapy has been the standard of care for selected patients with advance heart failure. Even though considerable strides have been achieved with the introduction of the newest centrifugal pump, therapy is still burdened with significant perioperative complications. Smaller devices, along with improved techniques and instruments, have encouraged the adoption of minimally invasive cardiac surgery (MICS) techniques for LVAD implantation to improve perioperative outcomes. Methods We describe a technique for complete sternal-sparing (CSS) HeartMate 3 (Abbott Laboratories, Abbott Park, IL) left ventricular assist device (LVAD) implantation using bilateral thoracotomies and discuss early clinical outcomes of the first ten consecutive patients who underwent CSS implantation of the HeartMate 3 LVAD at our institution. Results The median length of stay in the intensive care unit was 3.5 days. No patients required reexploration for postoperative bleeding. There was no incidence of right ventricle failure, stroke, renal failure, hepatic failure, or myocardial infarction. The median length of hospitalization after LVAD implantation was 14.5 days (interquartile range, 12 to 17 days). Conclusions Our early outcomes suggest that the CSS approach may reduce the incidence of right ventricular failure, bleeding, intubation time, and intensive care unit length of stay. Further studies are needed to fully elucidate the advantages of CSS LVAD implantation compared with median sternotomy.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
medicine.medical_treatment
030204 cardiovascular system & hematology
Risk Assessment
Sampling Studies
law.invention
Prosthesis Implantation
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
law
medicine
Minimally invasive cardiac surgery
Humans
Minimally Invasive Surgical Procedures
Intubation
Myocardial infarction
Aged
Retrospective Studies
Heart Failure
business.industry
Patient Selection
Perioperative
Length of Stay
Middle Aged
Prognosis
medicine.disease
Sternotomy
Intensive care unit
United States
Surgery
Treatment Outcome
Thoracotomy
030228 respiratory system
Median sternotomy
Heart failure
Ventricular assist device
Female
Heart-Assist Devices
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 107
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....988fdab9706356b90288c7fabab016e6