Deuse Tobias, Reichenspurner Hermann
From the University Heart Center Hamburg, Hamburg, Germany.
ASAIO J. 2014 Mar-Apr;60(2):234-6. doi: 10.1097/MAT.0000000000000039.
Median sternotomy is associated with specific complications, and sternal wound infections carry a high risk for left ventricular assist device patients. Techniques using thoracotomy incisions and sparing the sternum are therefore being developed to reduce complications and increase patient safety. The HeartWare ventricular assist device (HVAD) continuous flow pump is a miniaturized full support device that lends itself especially well for lateral implantation. We here present our techniques for HVAD implantation with outflow to either the ascending or the descending aorta.
正中胸骨切开术会引发特定并发症，对于植入左心室辅助装置的患者而言，胸骨伤口感染风险很高。因此，正在研发采用开胸切口且避免切开胸骨的技术，以减少并发症并提高患者安全性。HeartWare心室辅助装置（HVAD）连续流泵是一种小型化的全支持装置，特别适合于外侧植入。我们在此介绍经升主动脉或降主动脉流出道植入HVAD的技术。
