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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Minimal extracorporeal circulation circuit standby for "off-pump" left ventricular assist device implantation
Kyriakos Anastasiadis1, Stephen Westaby, Polychronis Antonitsis
1Department of Cardiothoracic Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, Greece.
Abstract:
We propose, as an addition to the off-pump technique for implantation of an axial flow left ventricular assist device, the use of a minimal extracorporeal circuit for circulatory support, in the setting of hemodynamic instability during implantation. Thus, the use of conventional cardiopulmonary bypass could be avoided. This set-up provides simplicity and effectiveness and enhanced safety of the off-pump implantation while it may offer adequate circulatory support if required.

