title: Left Ventricular Assist Device Implantation After Intracardiac Parachute Device Removal.
abstract: Left ventricular assist device implantation is a proven and efficient modality for the treatment of end-stage heart failure. Left ventricular assist device versatility as a bridge to heart transplantation or destination therapy has led to improved patient outcomes with a concomitant rise in its overall use. Other less invasive treatment modalities are being developed to improve heart function and morbidity and mortality for the heart failure population. Percutaneous ventricular restoration is a new investigational therapy that deploys an intracardiac parachute to wall off damaged myocardium in patients with dilated left ventricles and ischemic heart failure. Clinical trials are under way to test the efficacy of percutaneous ventricular restoration using the parachute device. This review describes our encounter with the parachute device, its explantation due to refractory heart failure, and surgical replacement with a left ventricular assist device.
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, Texas. Electronic address: wkabusaleh@houstonmethodist.org.
authors.forename: Walid K
authors.initials: WK
authors.lastname: Abu Saleh
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, Texas.
authors.forename: Odeaa
authors.initials: O
authors.lastname: Al Jabbari
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, Texas.
authors.forename: Brian A
authors.initials: BA
authors.lastname: Bruckner
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, Texas.
authors.forename: Erik E
authors.initials: EE
authors.lastname: Suarez
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, Texas.
authors.forename: Jerry D
authors.initials: JD
authors.lastname: Estep
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, Texas.
authors.forename: Matthias
authors.initials: M
authors.lastname: Loebe
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures; D020878:Device Removal; D005260:Female; D006333:Heart Failure / Q000601:surgery*; D006352:Heart Ventricles; D006353:Heart-Assist Devices; D006801:Humans; D019736:Prostheses and Implants; D019919:Prosthesis Implantation