Outcome of percutaneous HeartMate3 decommissioning: A single-centre experience

Hassane Abdallah*, Elena Grasso, M Ibrahem Abdelhamed, Ahmed Ibrahim, Metin Segur, Khalid Al Khamees, Roberto Lorusso

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


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 languageEnglish
Pages (from-to)1429-1435
Number of pages7
JournalArtificial Organs
Issue number7
Early online date12 May 2022
Publication statusPublished - Jul 2022


  • PUMP
  • decommissioning
  • left ventricular assist device
  • percutaneous
  • recovery

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