Deutsches Herzzentrum Berlin, Department for Cardiothoracic and Vascular Surgery, Berlin, Germany.
Ann Cardiothorac Surg. 2014 Sep;3(5):472-4. doi: 10.3978/j.issn.2225-319X.2014.09.06.
This manuscript summarizes our surgical experience with the implantation of recent continuous-flow left ventricular assist devices (LVADs), with special emphasis on the HeartWare HVAD pump.
THE HEARTWARE HVAD IS, IN OUR EXPERIENCE CURRENTLY IMPLANTED IN FOUR DIFFERENT TECHNIQUES: (I) "Classical" LVAD implantation with heart-lung machine and median sternotomy; (II) "Minimally-invasive" implantation without sternotomy and without heart-lung machine; (III) "Lateral implantation" to the descending aorta; (IV) Using two continuous-flow LVADs for implantable biventricular support.
Five-hundred and four HeartWare HVADs have been implanted using the described techniques in our institution up to now.
The HeartWare HVAD is a versatile device. It has been found to be eminently suited to these four different modes of implantation.
本文总结了我们使用最近的连续流左心室辅助装置(LVAD)进行手术的经验,特别强调了 HeartWare HVAD 泵。
根据我们的经验,HeartWare HVAD 目前采用以下四种不同技术进行植入:(一)使用体外循环和正中劈开胸骨的“经典”LVAD 植入术;(二)无需劈开胸骨和体外循环的“微创”植入术;(三)降主动脉“侧置”;(四)使用两个连续流 LVAD 进行可植入的双心室支持。
到目前为止,我们机构已经使用上述技术植入了 504 个 HeartWare HVAD。
HeartWare HVAD 是一种多功能设备。现已发现它非常适合这四种不同的植入模式。