Division of Cardiac Surgery, Department of Cardiology, Thoracic and Vascular Sciences, University Hospital of Padova, Padova, Italy.
Ann Cardiothorac Surg. 2014 Sep;3(5):525-31. doi: 10.3978/j.issn.2225-319X.2014.09.09.
The Jarvik-2000 is a non-pulsatile axial-flow left ventricular assist device (LVAD) that is largely used in patients who present in end-stage heart failure, as a bridge to transplant support or destination therapy. From its first utilization, several implantation techniques have been elaborated, starting from a median sternotomy with cardiopulmonary bypass (CPB) support and moving towards a minimally invasive access with an off-pump strategy. Here we present the favored surgical technique used in our department to implant the Jarvik-2000, in a step-by-step fashion.
贾维克-2000 是一种非搏动性轴流左心室辅助装置(LVAD),主要用于出现终末期心力衰竭的患者,作为心脏移植支持或心脏移植终点治疗的桥梁。从首次使用以来,已经详细阐述了几种植入技术,从伴有体外循环(CPB)支持的正中胸骨切开术开始,发展到采用非体外循环策略的微创入路。在这里,我们以分步的方式展示了我们科室使用的植入贾维克-2000 的首选手术技术。