Right Ventricular Assist Device Configuration for Remote Decannulation. Issue 3 (May 2016)

• Record Type: Journal Article
• Authors: Tchantchaleishvili, Vakhtang; Sagebin, Fabio; Massey, Howard Todd
• Is Part Of: Innovations. Volume 11:Issue 3(2016)
• Page Start: 225
• Page End: 228
• Publication Date: 2016-05
• Subjects: Right ventricular assist device -- Peripheral decannulation -- Right heart failure; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1097/imi.0000000000000285
• Languages: English
• ISSNs: 1556-9845

Abstract

Preoperative risk factors, intraoperative fluid shifts, and transfusions place patients at increased risk for right ventricular failure during left ventricular assist device implantation. Despite aggressive use of inotropes and pulmonary vasodilators, in severe cases of RV failure, a right ventricular assist device may be required. For the past several years, we have been implanting right ventricular assist devices in the presented configuration, allowing less invasive removal without sternotomy. The method is presented herein.