从HVAD交换到HeartMate3:原理、技术和缺陷

Pub Date : 2023-03-01 Epub Date: 2022-10-11 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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