从HVAD交换到HeartMate3:原理、技术和缺陷

Q3 Medicine

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2023-03-01 DOI:10.1053/j.optechstcvs.2022.10.001

Victoria H. Lam, Aldo E. Rafael-Yarihuaman, Dan M. Meyer

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引用次数: 1

摘要

自2021年召回HeartWare HVAD装置以来，剩余植入物的管理范围从医疗管理、移植到交换。本文介绍了两种将HVAD置换到HeartMate3装置的可行方法，即左侧开胸术和上半胸骨切开术相结合。这些入路最大限度地减少了解剖和胸骨瓣切开术的并发症，并缩短了搭桥时间。本文还描述了陷阱和解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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HeartWare HVAD Exchange to HeartMate3: Principles, Techniques, and Pitfalls

Since the recall of the HeartWare HVAD device in 2021, the management of the remaining implants range from medical management, transplant, to exchange. This article describes 2 feasible approaches to exchange the HVAD to the HeartMate3 device through a combination of a left lateral thoracotomy with a superior hemi-sternotomy. These approaches minimize dissection and complications of a redo-sternotomy and minimizes bypass time. Pitfalls and solutions are also herein described.

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来源期刊

Operative Techniques in Thoracic and Cardiovascular Surgery Medicine-Surgery

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.