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Updated: Feb 7, 2026

Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
Published on: May 11, 2018
Less invasive HeartMate 3 left ventricular assist device implantation
Jan D Schmitto1, Thomas Krabatsch2, Laura Damme3
1Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
This study shows a less-invasive approach for HeartMate 3 left ventricular assist device (LVAD) implantation is feasible. This novel technique offers reduced surgical trauma and faster recovery for patients needing advanced heart failure support.
Area of Science:
- Cardiovascular Surgery
- Medical Devices
- Heart Failure Treatment
Background:
- The HeartMate 3 left ventricular assist device (LVAD) is a novel technology.
- Initial clinical trials restricted implantation to conventional sternotomy.
- CE Mark approval was obtained in October 2015.
Purpose of the Study:
- To describe the initial experiences with a less-invasive implantation technique for the HeartMate 3 LVAD.
- To evaluate the feasibility and benefits of this novel surgical approach.
Main Methods:
- Utilized an upper hemi-sternotomy combined with an anterior lateral thoracotomy.
- This approach was employed for HeartMate 3 LVAD implantation.
Main Results:
- Demonstrated the feasibility of the less-invasive technique.
- Observed diminished surgical trauma and reduced postoperative bleeding.
- Reported earlier patient recovery and a reduced need for blood transfusions.
Conclusions:
- Less-invasive HeartMate 3 LVAD implantation is technically feasible.
- This approach offers significant benefits for surgical outcomes.
- May represent a new standard of care for LVAD implantation.
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