Presentation is loading. Please wait.

Presentation is loading. Please wait.

Improved Approach With Subcostal Exchange of the HeartMate II Left Ventricular Assist Device: Difference in On and Off Pump?  Ann C. Gaffey, MD, MTR,

Published byDarlene Matthews Modified over 6 years ago

Similar presentations

Presentation on theme: "Improved Approach With Subcostal Exchange of the HeartMate II Left Ventricular Assist Device: Difference in On and Off Pump?  Ann C. Gaffey, MD, MTR,"— Presentation transcript:

1 Improved Approach With Subcostal Exchange of the HeartMate II Left Ventricular Assist Device: Difference in On and Off Pump?  Ann C. Gaffey, MD, MTR, Carol W. Chen, MD, Jennifer J. Chung, MD, Emily Phillips, BA, Joyce Wald, DO, Matthew L. Williams, MD, David W. Low, MD, Michael A. Acker, MD, Pavan Atluri, MD  The Annals of Thoracic Surgery  Volume 104, Issue 5, Pages (November 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The pump is exposed through a left subcostal incision. A self-retaining Rultract retractor (Rultract Inc, Inc, Cleveland, OH) is used to provide adequate exposure to the HeartMate II (St. Jude Medical, Inc, St. Paul, MN) left ventricular assist device, inflow, and outflow. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Subcostal tissue and ribs are retracted with a Rultract retractor (Rultract Inc, Inc, Cleveland, OH). The new HeartMate II (St. Jude Medical, Inc, St. Paul, MN) left ventricular assist device is in the forefront, and a vascular clamp is on the outflow cannula of the old HeartMate II pump. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 The old HeartMate II (St. Jude Medical, Inc, St. Paul, MN) left ventricular assist device is removed. A vascular clamp on the outflow cannula and the surgeon’s thumb on the inflow cannula achieve hemostasis. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 The outflow graft is connected to the new ventricular assist device. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 The new HeartMate II (St. Jude Medical, Inc, St. Paul, MN) left ventricular assist device is in place after connection of the inflow to the HeartMate II device. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Kaplan-Meier survival curves for patients undergoing HeartMate II (St. Jude Medical, Inc, St. Paul, MN) left ventricular assist device exchange through a sternotomy, on cardiopulmonary bypass (CPB) subcostal exchange (SC), and off cardiopulmonary bypass subcostal exchange. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Improved Approach With Subcostal Exchange of the HeartMate II Left Ventricular Assist Device: Difference in On and Off Pump?  Ann C. Gaffey, MD, MTR,"

Similar presentations

Heart Transplant vs Left Ventricular Assist Device in Heart Transplant-Eligible Patients Matthew L. Williams, MD, Jaimin R. Trivedi, MD, MPH, Kelly C.

Heart Transplant vs Left Ventricular Assist Device in Heart Transplant-Eligible Patients Matthew L. Williams, MD, Jaimin R. Trivedi, MD, MPH, Kelly C.
Fenton H. McCarthy, MD, Dale Kobrin, BA, J. Eduardo Rame, MD, Peter W

Fenton H. McCarthy, MD, Dale Kobrin, BA, J. Eduardo Rame, MD, Peter W
Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease  Srikrishna Sirivella, MD, Isaac Gielchinsky,

Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease  Srikrishna Sirivella, MD, Isaac Gielchinsky,
Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures  Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,

Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures  Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,
Treating Constrictive Pericarditis in a Chinese Single-Center Study: A Five-Year Experience  Yiyun Lin, MD, Mi Zhou, MMS, Jian Xiao, MD, Bin Wang, MD,

Treating Constrictive Pericarditis in a Chinese Single-Center Study: A Five-Year Experience  Yiyun Lin, MD, Mi Zhou, MMS, Jian Xiao, MD, Bin Wang, MD,
Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device

Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device
HeartWare Left Ventricular Assist Device Implantation Through Bilateral Anterior Thoracotomy  Aron Frederik Popov, MD, Morteza Tavakkoli Hosseini, MD,

HeartWare Left Ventricular Assist Device Implantation Through Bilateral Anterior Thoracotomy  Aron Frederik Popov, MD, Morteza Tavakkoli Hosseini, MD,
Survival on the Heart Transplant Waiting List: Impact of Continuous Flow Left Ventricular Assist Device as Bridge to Transplant  Jaimin R. Trivedi, MD,

Survival on the Heart Transplant Waiting List: Impact of Continuous Flow Left Ventricular Assist Device as Bridge to Transplant  Jaimin R. Trivedi, MD,
Long-Term Outcomes After Isolated Aortic Valve Replacement in Octogenarians: A Modern Perspective  Vinod H. Thourani, MD, Richard Myung, MD, Patrick Kilgo,

Long-Term Outcomes After Isolated Aortic Valve Replacement in Octogenarians: A Modern Perspective  Vinod H. Thourani, MD, Richard Myung, MD, Patrick Kilgo,
Jeevan Nagendran, MD, Colleen M. Norris, PhD, Michelle M

Jeevan Nagendran, MD, Colleen M. Norris, PhD, Michelle M
Implantation of HeartMate II Left Ventricular Assist Device in a Single-Lung Patient  Hannah Copeland, MD, Liset Stoletniy, MD, Antoine Sakr, MD, Anees.

Implantation of HeartMate II Left Ventricular Assist Device in a Single-Lung Patient  Hannah Copeland, MD, Liset Stoletniy, MD, Antoine Sakr, MD, Anees.
Left Ventricular Assist Device Design Reduces von Willebrand Factor Degradation: A Comparative Study Between the HeartMate II and the EVAHEART Left Ventricular.

Left Ventricular Assist Device Design Reduces von Willebrand Factor Degradation: A Comparative Study Between the HeartMate II and the EVAHEART Left Ventricular.
Improved Early Survival With a Nonsternotomy Approach for Continuous-Flow Left Ventricular Assist Device Replacement  Matthew A. Schechter, MD, Chetan.

Improved Early Survival With a Nonsternotomy Approach for Continuous-Flow Left Ventricular Assist Device Replacement  Matthew A. Schechter, MD, Chetan.
Combined Heart and Liver Transplantation Can Be Safely Performed With Excellent Short- and Long-Term Results  Pavan Atluri, MD, Ann Gaffey, MD, Jessica.

Combined Heart and Liver Transplantation Can Be Safely Performed With Excellent Short- and Long-Term Results  Pavan Atluri, MD, Ann Gaffey, MD, Jessica.
Pump Replacement for Left Ventricular Assist Device Failure Can Be Done Safely and Is Associated With Low Mortality  Nader Moazami, MD, Carmelo A. Milano,

Pump Replacement for Left Ventricular Assist Device Failure Can Be Done Safely and Is Associated With Low Mortality  Nader Moazami, MD, Carmelo A. Milano,
Laura Harvey, MD, Christopher Holley, MD, Samit S

Laura Harvey, MD, Christopher Holley, MD, Samit S
Revascularization of Left Anterior Descending Artery With Drug-Eluting Stents: Comparison With Off-Pump Surgery  Itzhak Herz, MD, Yaron Moshkovitz, MD,

Revascularization of Left Anterior Descending Artery With Drug-Eluting Stents: Comparison With Off-Pump Surgery  Itzhak Herz, MD, Yaron Moshkovitz, MD,
Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD 

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD 
Video-Assisted Thoracoscopic Left Ventricular Pacing in Patients With and Without Previous Sternotomy  Katharine E. Nelson, MBBS, MRCP, Matthew G.D. Bates,

Video-Assisted Thoracoscopic Left Ventricular Pacing in Patients With and Without Previous Sternotomy  Katharine E. Nelson, MBBS, MRCP, Matthew G.D. Bates,
Surgical Technique for Replacement of Centrifugal Left Ventricular Assist Device Through a Left Thoracotomy  Carmelo A. Milano, MD  The Annals of Thoracic.

Surgical Technique for Replacement of Centrifugal Left Ventricular Assist Device Through a Left Thoracotomy  Carmelo A. Milano, MD  The Annals of Thoracic.

Similar presentations

Ads by Google