Naslov
Off-Pump Less Invasive HeartMate3 LVAD Implantation is Safe and Feasible Compared to the On-Pump Technique

Autori
A. Goodman , M. Fryer , A. Jones , K. Wood , M. Bjelic , F. Paic , E. Thomas , M. Hack , H. Vidula , J. Alexis , C. Cheyne , K. Chase , W. Bernstein , D. Lindenmuth , J. Wyrobek, I. Gosev

Izvornik
Journal of heart and lung transplantation (1053-2498) 42 (2023), 4; S386-s386

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kratko priopcenje, znanstveni

Ključne riječi
LVAD off-pump ; on-pump ; heart failure

Sažetak
Purpose Our group previously reported the safety and feasibility of the off- pump HeartMate 3 left ventricular assist device in a small cohort of high-risk patients. We now present a larger cohort who underwent off-pump HeartMate 3 LVAD placement, the majority via a less invasive approach. The study's primary objective was the safety and feasibility of the off-pump technique compared to the standard on-pump approach with an emphasis on the less invasive technique. Methods We retrospectively reviewed all patients who underwent HeartMate 3 LVAD implantation at our institution since June of 2019. One hundred and sixty-one of these patients underwent on- pump implantation while 52 underwent off-pump implantation with 49 of them (94%) undergoing a less invasive approach which includes bilateral thoracotomies and thoracotomy with hemi- sternotomy. Results Preoperative characteristics were similar between groups. More patients in the off-pump group were categorized as INTERMACS Profile 1 at the time of implant (67% vs 29% in the on-pump group, p<0.0001). There was no significant difference between total length of stay and in-hospital mortality between the two groups. Postoperative outcomes, including all major complications and short-term survival, were comparable between groups. Conclusion Results from our single-center, retrospective analysis suggest that off-pump, less invasive LVAD implantation can be offered as a safe alternative for LVAD candidates in critical cardiogenic shock.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA