Elbayomi Mohamed, Weyand Michael, Seitz Timo, Heim Christian, Steger Katrin, Tandler Rene
Department of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.
J Card Surg. 2022 Dec;37(12):5551-5555. doi: 10.1111/jocs.17135. Epub 2022 Nov 8.
The ultimate goal in the treatment of end-stage heart failure is the recovery of cardiac function following mechanical assistance of the left ventricle. The HVAD™ pump (HeartWare Inc.) left ventricular assist device (LVAD) can be explanted without resternotomy. This article demonstrates that the use of a custom-made mechanical plug (manufactured by INNOVO Solutions GmbH), which can be inserted into the LVAD's sewing ring, is feasible. This mechanical plug explicitly designed for device explantation is a viable alternative to the current standard of care. This article adopts a less invasive technique to explant the pump. The following case illustrates this technique.
终末期心力衰竭治疗的最终目标是在左心室机械辅助后恢复心脏功能。HVAD™泵（HeartWare公司）左心室辅助装置（LVAD）可在无需再次开胸手术的情况下取出。本文证明，使用定制的机械塞（由INNOVO Solutions GmbH制造）插入LVAD的缝合环是可行的。这种专门为装置取出设计的机械塞是当前护理标准的可行替代方案。本文采用了一种侵入性较小的技术来取出泵。以下病例说明了该技术。
