Minimally invasive approach for biventricular assist device with centrifugal pump: first experience in Spain

2020 ◽  
Vol 73 (6) ◽  
pp. 512-513
Author(s):  
Carmen Iglesias-Gil ◽  
Francisco Estévez-Cid ◽  
Miguel González-Barbeito ◽  
Eduardo Barge-Caballero ◽  
Jose J. Cuenca-Castillo
ASAIO Journal ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ismael A. Salas De Armas ◽  
Manish Patel ◽  
Mehmet Hakan Akay ◽  
Jayeshkumar Patel ◽  
Mustafa Singapurwala ◽  
...  

2017 ◽  
Vol 41 (1) ◽  
pp. 28-36 ◽  
Author(s):  
Jonida Bejko ◽  
Demetrio Pittarello ◽  
Gianclaudio Falasco ◽  
Guido Di Gregorio ◽  
Vincenzo Tarzia ◽  
...  

Background: The aim of our study was to compare 2 surgical and anesthetic approaches during ventricular assist device implantation. Methods: 68 patients (50.4 ± 17.1 years old) were supported with the HeartWare® HVAD (32 patients) and the Jarvik 2000 VAD (36 patients) between January 2010 and August 2016. Two surgical techniques were applied: a minimally invasive approach with the aid of paravertebral-block (mini-invasive group, 41 patients) and a standard-surgical-approach with the aid of general anesthesia (27 patients). Results: The minimally invasive approach allowed faster postoperative recovery by significantly reducing the duration of surgery (p<0.05), anesthesia (p<0.05), mechanical ventilation (p<0.05), inotropic support (p<0.05), ICU and in-hospital stay (p<0.05), and time to first mobilization (p<0.05). No case of epidural hematoma was observed. Eleven patients died (16%) at 30 days, 3 in the mini-invasive group (7.3%) and 8 in the invasive group (29.6%). Conclusions: Minimally invasive approaches play a substantial role in VAD surgery by facilitating faster recovery, which is important for patients at very high risk.


Author(s):  
Luke A. Ziegler ◽  
Gregory J. Bittle ◽  
Wyatt J. Klass ◽  
Erik N. Sorensen ◽  
Ronson J. Madathil ◽  
...  

A minimally invasive approach to left ventricular assist device (LVAD) insertion may benefit patients at the time of implant, but whether the approach to LVAD insertion influences the outcome of subsequent cardiovascular reoperations is unknown. Here we present the case of a 50-year-old male who underwent LVAD insertion through a minimally invasive approach and subsequently had left ventricular recovery. LVAD explant was performed without the use of any blood products or inotropic support. This case demonstrates that a minimally invasive approach to LVAD insertion may also facilitate subsequent device explant.


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