Minimal extracorporeal circulation circuit standby for "off-pump" left ventricular assist device implantation.
We propose, as an addition to the off-pump technique for implantation of an axial flow left ventricular assist device, the use of a minimal extracorporeal circuit for circulatory support, in the setting of hemodynamic instability during implantation. Thus, the use of conventional cardiopulmonary bypass could be avoided. This set-up provides simplicity and effectiveness and enhanced safety of the off-pump implantation while it may offer adequate circulatory support if required.
Anastasiadis
Kyriakos
K
Department of Cardiothoracic Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, Greece.
Westaby
Stephen
S
Antonitsis
Polychronis
P
Argiriadou
Helena
H
Karapanagiotidis
Georgios
G
Pigott
David
D
Papakonstantinou
Christos
C
D002311:Cardiomyopathy, Dilated / Q000601:surgery / Q000628:therapy; D004867:Equipment Design; D005112:Extracorporeal Circulation / Q000295:instrumentation*; D006352:Heart Ventricles / Q000601:surgery; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000295:instrumentation*