title: Simple method of hemostasis in implantation and explantation of HeartMate left ventricular assist device.
abstract: We described a simple method of hemostasis in implantation and explantation of HeartMate left ventricular assist device. Wrapping of the inflow cannula, outflow conduit and outflow graft with Vascutek tube graft can localize the bleeding due to patient's coagulopathy, imperfect coating and device defect. During explantation, bivalving the tube graft, leaving the graft in place and no-touch of the adhesion between graft and soft tissue can minimize the dissection and prevent the potential bleeding.
authors.affiliation: Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: R B
authors.initials: RB
authors.lastname: Hsu
authors.forename: S H
authors.initials: SH
authors.lastname: Chu
authors.forename: S S
authors.initials: SS
authors.lastname: Wang
mesh_terms: D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000628:therapy; D020878:Device Removal; D006353:Heart-Assist Devices; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008297:Male