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My HeartWare implantation technique: tricks and pitfalls
1Division of Heart Surgery, Heart Center Leipzig University, Leipzig, Germany.
Interactive Cardiovascular and Thoracic Surgery
|June 6, 2018
Summary
This study introduces a minimally invasive technique for implanting the HeartWare® Ventricular Assist Device using an extrapericardial pump placement. This approach offers benefits for specific patients, potentially reducing invasiveness and aiding future cardiac surgeries.
Area of Science:
- Cardiovascular Surgery
- Medical Devices
- Minimally Invasive Procedures
Background:
- The HeartWare® Ventricular Assist Device is an established left ventricular assist device.
- Conventional implantation typically involves a sternotomy approach.
- Minimally invasive techniques aim to reduce surgical trauma and optimize device placement.
Purpose of the Study:
- To describe an alternative, minimally invasive implantation technique for the HeartWare® Ventricular Assist Device.
- To evaluate the feasibility of extrapericardial pump placement via left anterolateral minithoracotomy.
- To identify patient selection criteria for this novel approach.
Main Methods:
- Proposal of an extrapericardial pump placement technique.
- Utilizing a left anterolateral minithoracotomy approach for implantation.
- Consideration of patient-specific factors like need for additional cardiac procedures or presence of left atrial thrombus.
Main Results:
- The proposed technique allows for extrapericardial placement of the rotary blood pump.
- Minimally invasive approach is not suitable for patients requiring additional cardiac procedures or with left atrial thrombus.
- Preserving the pericardium may facilitate future heart transplantation.
Conclusions:
- An extrapericardial implantation technique via minithoracotomy is feasible for the HeartWare® Ventricular Assist Device.
- Careful patient selection is crucial for the success of this minimally invasive approach.
- This technique may offer advantages in reducing invasiveness and preserving the pericardium for future interventions.
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