Abstract
OBJECTIVES: To highlight the role of percutaneous left ventricular assist device (LVAD) decommissioning as a safe procedure after myocardial recovery in patients with advanced heart failure.
BACKGROUND: The HeartMate3 LVAD (Abbott, Chicago, IL, USA) is designed to provide circulatory support with enhanced hemocompatibility for patients with advanced heart failure. Most VADs are used as a bridge to heart transplantation; however, in certain cases, myocardial function recovers, and VADs can be explanted after the patient is weaned. Although surgical explantation remains the gold standard, minimally invasive percutaneous decommissioning has been described as a successful alternative. In this study, we present our experience, one-year outcomes, and adverse events associated with percutaneous LVAD decommissioning.
METHODS: We conducted a retrospective review of data from six consecutive patients who underwent percutaneous LVAD decommissioning.
RESULTS: Six patients were enrolled in the study. For all six patients, HM3 decommissioning was completed at least 6 months ago. No technical complications were documented. No strokes were observed within the study period, and the ejection fraction improved. The mean follow-up duration was 18 ± 8.5 months, and the survival rate was 100%.
CONCLUSION: Percutaneous HeartMate3 decommissioning appears to be safe. In particular, the survival after the procedure was 100%, and no events, especially thromboembolic ones, occurred.
Original language | English |
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Pages (from-to) | 1429-1435 |
Number of pages | 7 |
Journal | Artificial Organs |
Volume | 46 |
Issue number | 7 |
Early online date | 12 May 2022 |
DOIs | |
Publication status | Published - Jul 2022 |
Keywords
- EXPLANTATION
- IMPLANTATION
- MYOCARDIAL RECOVERY
- PUMP
- VENTRICULAR ASSIST DEVICE
- decommissioning
- left ventricular assist device
- percutaneous
- recovery