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Principles of HeartMate II Implantation to Avoid Pump Malposition and Migration
Proper left ventricular assist device (LVAD) insertion will help maximize LVAD flow and may reduce adverse events such as right heart failure and pump thrombosis. Although no standardized insertion technique has been universally accepted, the goals are: unobstructed inflow cannula, unobstructed outf...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BlackWell Publishing Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4359036/ https://www.ncbi.nlm.nih.gov/pubmed/25472467 http://dx.doi.org/10.1111/jocs.12478 |
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author | Adamson, Robert M Mangi, Abeel A Kormos, Robert L Farrar, David J Dembitsky, Walter P |
author_facet | Adamson, Robert M Mangi, Abeel A Kormos, Robert L Farrar, David J Dembitsky, Walter P |
author_sort | Adamson, Robert M |
collection | PubMed |
description | Proper left ventricular assist device (LVAD) insertion will help maximize LVAD flow and may reduce adverse events such as right heart failure and pump thrombosis. Although no standardized insertion technique has been universally accepted, the goals are: unobstructed inflow cannula, unobstructed outflow graft with avoidance of right ventricular compression, and prevention of pump migration. To achieve these objectives for the HeartMate II LVAD, we delineate four principles: proper pump pocket creation, optimized positioning of inflow cannula and outflow graft, proper pump position in the body, and fixation. These basic principles are easy to implement and have been beneficial in our patients, assuring long-term unobstructed LVAD flow. |
format | Online Article Text |
id | pubmed-4359036 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BlackWell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-43590362015-03-19 Principles of HeartMate II Implantation to Avoid Pump Malposition and Migration Adamson, Robert M Mangi, Abeel A Kormos, Robert L Farrar, David J Dembitsky, Walter P J Card Surg Surgical Technique Proper left ventricular assist device (LVAD) insertion will help maximize LVAD flow and may reduce adverse events such as right heart failure and pump thrombosis. Although no standardized insertion technique has been universally accepted, the goals are: unobstructed inflow cannula, unobstructed outflow graft with avoidance of right ventricular compression, and prevention of pump migration. To achieve these objectives for the HeartMate II LVAD, we delineate four principles: proper pump pocket creation, optimized positioning of inflow cannula and outflow graft, proper pump position in the body, and fixation. These basic principles are easy to implement and have been beneficial in our patients, assuring long-term unobstructed LVAD flow. BlackWell Publishing Ltd 2015-03 2014-12-04 /pmc/articles/PMC4359036/ /pubmed/25472467 http://dx.doi.org/10.1111/jocs.12478 Text en © 2015 The Authors. Journal of Cardiac Surgery published by Wiley Periodicals, Inc. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Surgical Technique Adamson, Robert M Mangi, Abeel A Kormos, Robert L Farrar, David J Dembitsky, Walter P Principles of HeartMate II Implantation to Avoid Pump Malposition and Migration |
title | Principles of HeartMate II Implantation to Avoid Pump Malposition and Migration |
title_full | Principles of HeartMate II Implantation to Avoid Pump Malposition and Migration |
title_fullStr | Principles of HeartMate II Implantation to Avoid Pump Malposition and Migration |
title_full_unstemmed | Principles of HeartMate II Implantation to Avoid Pump Malposition and Migration |
title_short | Principles of HeartMate II Implantation to Avoid Pump Malposition and Migration |
title_sort | principles of heartmate ii implantation to avoid pump malposition and migration |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4359036/ https://www.ncbi.nlm.nih.gov/pubmed/25472467 http://dx.doi.org/10.1111/jocs.12478 |
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