Novel HeartMate Cardiac Assist Systems (Thoratec)
Fig. 52.1 The HeartMate III LVAS implanted and external components The Full MagLev rotor eliminates the need for fluid or mechanical bearings, thereby avoiding wear of the single moving component….
Paracorporeal Biventricular Assist Devices: The EXCOR® VAD System
Fig. 30.1 BVAD (LVAD, inflow LV apical/outflow ascending Ao; RVAD, inflow RA/outflow PA) Fig. 30.2 BVAD (LVAD, inflow LA/outflow Ao; RVAD, inflow RA/outflow PA) When planning an EXCOR implantation, concomitant…
Techniques for Inflow Cannula Placement
Fig. 26.1 Creation of an adequately sized pump pocket is essential to optimize inflow cannula position. For the HM II LVAD, the exposed part of the diaphragm is cauterized as…
Minimal Invasive: Padua’s Approach and Technique
(1) Division of Cardiac Surgery, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padova, Italy 24.1 Introduction Heart transplantation is the most effective method of enhancing quality…
Which Approach? Traditional Versus MICS
Fig. 23.1 Conventional implantation technique: full sternotomy (Illustration by Ilaria Bondi’s Peppermint Advertising) A key advantage of this approach is that it provides the best overview of the heart and…
Transesophageal Echocardiography During LVAD Implantation
Fig. 17.1 Left apical thrombus in ischemic cardiomyopathy (left panel), multiple floated thrombi in the right atrium, and ventricle with adhesion to AICD wire (right panel) RV function is usually…
Pump Thrombosis
Method Advantage Disadvantage Problem Device Remarks Angiography (ventriculography) Flow visualization, diagnosis plus treatment of outflow-graft thrombosis Needs catheter lab Contrast fluid necessary Arterial puncture Outflow-graft thrombosis All Use Cerebral Protection…
The Berlin Heart EXCOR Experience in the USA
Variable Cohort 1 (BSA < 0.7 m2) Cohort 2 (BSA 0.7–1.5 m2) Age in months – median (range) 11.7 (2.6–45.6) 111.2 (50.8–191.8) Weight in kilograms – median (range) 9.2 (3.6–13.6)…
Techniques for Driveline Positioning
Aspects Details Patients anatomy and physical status Obesity Size of abdominal region Avoid rib area Abdominal surgical history Diabetes mellitus type II Patient preferences Left or right hander Clothing habits…
Early Experience with the CARMAT Bioprosthetic Artificial Heart
Fig. 55.1 Cross section of the CARMAT TAH. 1. Right ventricle with membrane, 2. left ventricle with membrane, 3. main pump, 4. auxiliary pump, 5. silicon oil reservoir The beat…
