Department of Cardiac Surgery and Research Group for Experimental Surgery, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Department of Cardiac Surgery and Research Group for Experimental Surgery, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany; Department of Cardiothoracic Surgery, University Hospital, Tohoku University, Sendai, Japan.
Ann Thorac Surg. 2021 Jun;111(6):e451-e453. doi: 10.1016/j.athoracsur.2020.11.091. Epub 2021 Feb 22.
In recent years, a less invasive approach has progressively become the first choice for left ventricular assist device (LVAD) implantation. However, in the setting of bridge to transplantation, device-related dense adhesions, particularly at the thoracotomy site, still remain a cumbersome problem at the time of heart transplantation. We propose a technique termed "Furoshiki" with the double wrapping of the LVAD at the primary less invasive implantation consisting of complete wrapping of the LVAD with expanded polytetrafluoroethylene as the first step and complete closure of the pericardial continuity with bovine pericardial patch plasty as the second step.
近年来，一种微创方法逐渐成为左心室辅助装置（LVAD）植入的首选。然而，在桥接移植的情况下，器械相关的致密粘连，特别是在开胸部位，仍然是心脏移植时一个棘手的问题。我们提出了一种称为“包袱”的技术，即在初次微创植入时对 LVAD 进行双重包裹，包括用膨体聚四氟乙烯（ePTFE）完全包裹 LVAD 作为第一步，以及用牛心包补片完全闭合心包连续性作为第二步。
