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

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

doi:10.1053/j.optechstcvs.2022.10.001

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

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

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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.

Original language	English (US)
Journal	Operative Techniques in Thoracic and Cardiovascular Surgery
DOIs	https://doi.org/10.1053/j.optechstcvs.2022.10.001
State	Accepted/In press - 2022
Externally published	Yes

Keywords

HeartMate 3
HVAD exchange
LVAD
redo surgery

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1053/j.optechstcvs.2022.10.001

Cite this

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title = "HeartWare HVAD Exchange to HeartMate3: Principles, Techniques, and Pitfalls",

abstract = "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.",

keywords = "HeartMate 3, HVAD exchange, LVAD, redo surgery",

author = "Lam, {Victoria H.} and Rafael-Yarihuaman, {Aldo E.} and Meyer, {Dan M.}",

note = "Funding Information: Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: {\textcopyright} 2022 Elsevier Inc.",

year = "2022",

doi = "10.1053/j.optechstcvs.2022.10.001",

language = "English (US)",

journal = "Operative Techniques in Thoracic and Cardiovascular Surgery",

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T1 - HeartWare HVAD Exchange to HeartMate3

T2 - Principles, Techniques, and Pitfalls

AU - Lam, Victoria H.

AU - Rafael-Yarihuaman, Aldo E.

AU - Meyer, Dan M.

N1 - Funding Information: Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: © 2022 Elsevier Inc.

PY - 2022

Y1 - 2022

N2 - 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.

AB - 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.

KW - HeartMate 3

KW - HVAD exchange

KW - LVAD

KW - redo surgery

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JO - Operative Techniques in Thoracic and Cardiovascular Surgery

JF - Operative Techniques in Thoracic and Cardiovascular Surgery

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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