Hanke Jasmin S, Dogan Günes, Haverich Axel, Schmitto Jan D
Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
Eur J Cardiothorac Surg. 2020 Mar 1;57(3):604-606. doi: 10.1093/ejcts/ezz248.
Myocardial recovery in left ventricular assist device patients is a rare opportunity to explant the assist device. Despite myocardial recovery, these patients remain high-risk candidates. Short, effective procedures are the key to successful left ventricular assist device explantation. Conventional methods such as ventriculoplasty are extensive and challenging procedures. Thus, an explantation tool was developed in order to simplify HeartMate 3 (Abbott Cooperation, Abbott Park, Ill, USA) explantation. A customized metal plug was designed to fit into the HeartMate 3-sewing ring. We now report the successful first-in-man use of this novel plug for HeartMate 3 explantation.
左心室辅助装置患者的心肌恢复是移除辅助装置的难得机会。尽管心肌恢复了，但这些患者仍是高危候选者。简短、有效的手术是成功移除左心室辅助装置的关键。传统方法如心室成形术是广泛且具有挑战性的手术。因此，为了简化HeartMate 3（美国雅培公司，伊利诺伊州雅培公园）的移除，开发了一种移除工具。设计了一个定制的金属塞，以适配HeartMate 3的缝合环。我们现在报告这种新型塞子首次成功用于人体移除HeartMate 3的情况。
