A novel model for minimally invasive left ventricular assist device implantation training. Issue 4 (31st July 2020)

• Record Type: Journal Article
• Authors: Robinson, Davida; Fitzsimmons, Michael; Waters, Kenneth; Mohiuddin, Farrukh; Knight, Peter; Sauer, Jude; Jr, Carl Johnson; Gosev, Igor
• Is Part Of: Minimally invasive therapy & allied technologies. Volume 29:Issue 4(2020)
• Page Start: 194
• Page End: 201
• Publication Date: 2020-07-31
• Subjects: Cardiac surgery -- cardiothoracic surgery -- minimally invasive surgery -- simulation -- training; Endoscopy -- Periodicals; Interventional radiology -- Periodicals; Endoscopic surgery -- Periodicals; 617.05
• DOI: 10.1080/13645706.2019.1616559
• Languages: English
• ISSNs: 1364-5706

Abstract

Abstract: Background: Significant advances in minimally invasive implantation of mechanical circulatory support devices have been made. These approaches are technically challenging and associated with a learning curve. Simulation and training opportunities in these techniques are limited. We developed a high-fidelity novel model for minimally invasive left ventricular assist device implantation. Material and methods: Using a modified inanimate simulator (LSI SOLUTIONS ® ) and an animal tissue model, a hybrid simulator was created, with a porcine ex vivo heart secured within the inanimate simulator in the normal anatomic position. Key components of the minimally invasive left ventricular assist device implantation were performed, including left ventricular apical coring, attachment of the apical ring, attachment of the assist device, and creation of the aortic-outflow graft anastomosis. Results: A novel composite inanimate and tissue model for minimally invasive left ventricular assist device implantation was successfully developed. These simulation techniques were reproducible, and the model demonstrated ability to successfully simulate key components of the procedure. Conclusions: This high-fidelity, reproducible hybrid model allows for crucial components of minimally invasive LVAD implantation to be performed. This model has the potential to be used as an adjunct to surgical training, providing a safe and controlled learning environment for trainees to acquire skills in minimally invasive LVAD implantation.