Improved Early Survival With a Nonsternotomy Approach for Continuous-Flow Left Ventricular Assist Device Replacement Matthew A. Schechter, MD, Chetan.

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Improved Early Survival With a Nonsternotomy Approach for Continuous-Flow Left Ventricular Assist Device Replacement Matthew A. Schechter, MD, Chetan B. Patel, MD, Laura J. Blue, NP, Ian Welsby, MD, Joseph G. Rogers, MD, Jacob N. Schroder, MD, Carmelo A. Milano, MD The Annals of Thoracic Surgery Volume 99, Issue 2, Pages 561-566 (February 2015) DOI: 10.1016/j.athoracsur.2014.08.032 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Surgical setup for continuous-flow left ventricular assist device (CF LVAD) replacement through a small left subcostal incision. Right axillary artery and right femoral vein are used to establish cardiopulmonary bypass. Catheter to remove air is introduced through left femoral artery and guided into ascending aorta. Finally, balloon catheter is used to control back bleeding after disconnection of outflow graft. The Annals of Thoracic Surgery 2015 99, 561-566DOI: (10.1016/j.athoracsur.2014.08.032) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions