"Bowing Technique" for Using a HeartMate 3 Mini-Apical Cuff. Issue 4 (11th March 2022)

• Record Type: Journal Article
• Authors: Ohira, Suguru; Grunfeld, Matan; Levine, Avi; De La Pena, Corazon; Spielvogel, David; Kai, Masashi
• Is Part Of: ASAIO journal. Volume 69:Issue 4(2023)
• Page Start: e149
• Page End: e151
• Publication Date: 2022-03-11
• Subjects: left ventricular assist device -- less invasive -- Heartmate3; Artificial organs -- Periodicals; 617
• DOI: 10.1097/MAT.0000000000001830
• Languages: English
• ISSNs: 1058-2916

Abstract

Abstract : A HeartMate 3 mini-apical cuff is designed to facilitate minimally invasive left ventricular assist implantation. A possible problem of using a mini-apical cuff is that multiple buttress braided sutures can interfere with a HeartMate 3 pump when locking the pump. If this happens in a minimally invasive approach, multiple manipulations to engage the pump can cause catastrophic myocardial injury and uncontrollable bleeding, especially in patients with a fragile myocardium. We are reporting a simple and effective technique to prevent suture jamming in the setting of mini-apical cuff implantation utilizing multiple buttress sutures.