Related Experiment Video
Updated: Mar 23, 2026
07:41
Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
Published on: July 20, 2022
2.5K
Chronic ventricular assist device support: surgical innovation
Sebastian V Rojas1, Jasmin S Hanke, Axel Haverich
1Department of Cardiothoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Hannover, Germany.
Current Opinion in Cardiology
|March 24, 2016
Summary
Newer ventricular assist devices (VADs) and less invasive surgical techniques are improving outcomes for heart failure patients. These advancements in VAD therapy show promising results and reduced complications.
Area of Science:
- Cardiac Surgery
- Biomedical Engineering
- Cardiology
Background:
- Ventricular assist device (VAD) therapy is a rapidly advancing field in cardiac surgery.
- VADs are crucial for treating congestive heart failure, with ongoing technological improvements.
- Recent innovations include novel devices and minimally invasive surgical approaches.
Purpose of the Study:
- To review recent innovations in VAD therapy.
- To focus on advancements in device-related surgery for VADs.
Main Methods:
- Review of current literature on VAD technology and surgical techniques.
- Analysis of clinical data from novel VAD devices and minimally invasive procedures.
Main Results:
- Device miniaturization allows for less invasive VAD surgery, avoiding sternotomy.
- Intrahospital survival rates exceed 90% for less invasive VAD implantation.
- New devices like Heartmate 3 and MVAD show promising clinical results, with the Heartmate 3 CE mark study reporting no pump thrombosis or malfunctions.
Conclusions:
- The latest generation of VADs demonstrates highly promising clinical outcomes compared to older devices.
- Minimally invasive surgery is becoming standard for VAD procedures (implantation, exchange, explantation).
- Technological and surgical innovations are expected to enhance VAD therapy outcomes and reduce complications.
Related Concept Videos
01:29Cardiomyopathy V: Interprofessional Care
615
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
615
01:22Heart Failure VI: Adjunct Therapies
533
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
533
01:23Mechanical Ventilation II: Invasive Ventilation
1.0K
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
1.0K
01:26Mitral Stenosis III: Medical Management
426
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
426
01:23Mechanical Ventilation III: Noninvasive Ventilation
794
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
794
01:30Cardiomyopathy II: Dilated Cardiomyopathy
740
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
740