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Percutaneous approach to left ventricular assist device decommissioning

Francesco Moroni1, Keyur B Shah1, Mohammed A Quader2

  • 1Division of Cardiovascular Medicine, Department of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|May 17, 2022
PubMed

Insights

Percutaneous left ventricular assist device (LVAD) decommissioning is a safe and effective method for removing LVADs. This minimally invasive approach avoids surgical risks and shows promising results for patients needing LVAD support withdrawal.

Area of Science:

  • Cardiology
  • Medical Devices
  • Interventional Cardiology

Background:

  • Left ventricular assist devices (LVADs) may require removal due to recovery or complications.
  • Surgical explantation carries significant risks.
  • Transcatheter LVAD decommissioning offers a less invasive alternative.

Purpose of the Study:

  • To evaluate the outcomes of percutaneous LVAD decommissioning.
  • To assess the safety and efficacy of this novel approach.

Main Methods:

  • Retrospective analysis of five consecutive cases.
  • Transcatheter LVAD decommissioning involving outflow graft occlusion and driveline transection.

Main Results:

  • The procedure was successful in all five patients.
  • No procedure-related complications were observed.
  • Three patients with recovered myocardial function remained alive and symptom-free at midterm follow-up.

Conclusions:

  • Percutaneous LVAD decommissioning is a safe and effective strategy.
  • This approach facilitates LVAD treatment discontinuation with favorable outcomes.
Abstract

Keywords:
cardiac functioncardiac remodelingheart assist deviceheart failureventricular assist device

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