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Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart

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Published on: May 11, 2018

Off-pump replacement of the INCOR implantable axial-flow pump.

Kuniki Nakashima¹, Matthias E W Kirsch, Emmanuelle Vermes

¹Service de Chirurgie Thoracique et Cardiovasculaire, AP-HP, Hôpital Henri Mondor, Créteil, France. kuniki.nakashima@hmn.aphp.fr

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation

|February 10, 2009

Summary

Mechanical circulatory support device replacements are increasing. This case study details a successful ventricular assist device (VAD) replacement without cardiopulmonary bypass, highlighting unique system features.

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Area of Science:

Cardiovascular Surgery
Biomedical Engineering
Medical Device Technology

Background:

Mechanical circulatory support (MCS) devices, such as ventricular assist devices (VADs), are increasingly used for longer durations.
The growing prevalence of VADs necessitates strategies for device longevity and management, including potential replacements.
Total or partial replacement of VADs is becoming a more frequent clinical consideration.

Observation:

This report details a specific case involving the replacement of an INCOR implantable axial-flow pump.
The key observation was the successful explantation and replacement of the VAD without the need for cardiopulmonary bypass (CPB).
The INCOR system's design facilitated this off-pump procedure, demonstrating unique operational capabilities.

Findings:

The INCOR axial-flow pump was successfully replaced in a patient without utilizing cardiopulmonary bypass.
This procedure highlights the feasibility and potential advantages of performing VAD replacement off-pump.
The specific features of the INCOR system were crucial in enabling this minimally invasive approach.

Implications:

Off-pump VAD replacement may offer benefits such as reduced surgical time and complications.
This approach could set a precedent for future VAD replacement surgeries, improving patient outcomes.
Further research into the application of this technique with various VAD systems is warranted.