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Different surgical strategies for implantation of continuous-flow VADs-Experience from Deutsches Herzzentrum Berlin
Thomas Krabatsch1, Thorsten Drews1, Evgenij Potapov1
1Deutsches Herzzentrum Berlin, Department for Cardiothoracic and Vascular Surgery, Berlin, Germany.
Objective:
This manuscript summarizes our surgical experience with the implantation of recent continuous-flow left ventricular assist devices (LVADs), with special emphasis on the HeartWare HVAD pump.
Methods:
THE HEARTWARE HVAD IS, IN OUR EXPERIENCE CURRENTLY IMPLANTED IN FOUR DIFFERENT TECHNIQUES: (I) "Classical" LVAD implantation with heart-lung machine and median sternotomy; (II) "Minimally-invasive" implantation without sternotomy and without heart-lung machine; (III) "Lateral implantation" to the descending aorta; (IV) Using two continuous-flow LVADs for implantable biventricular support.
Results:
Five-hundred and four HeartWare HVADs have been implanted using the described techniques in our institution up to now.
Conclusions:
The HeartWare HVAD is a versatile device. It has been found to be eminently suited to these four different modes of implantation.
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