Minimally Invasive versus Conventional LVAD-Implantation—An Analysis of the Literature

Kristina Wachter; Ulrich F.W. Franke; Christian J. Rustenbach; Hardy Baumbach

doi:10.1055/s-0038-1627455

The Thoracic and Cardiovascular Surgeon, Table of Contents

Thorac Cardiovasc Surg 2019; 67(03): 156-163
DOI: 10.1055/s-0038-1627455

Review Article

Georg Thieme Verlag KG Stuttgart · New York

Minimally Invasive versus Conventional LVAD-Implantation—An Analysis of the Literature

Kristina Wachter

¹Department of Cardiovascular Surgery, Robert-Bosch-Krankenhaus, Stuttgart, Germany

,

Ulrich F.W. Franke

¹Department of Cardiovascular Surgery, Robert-Bosch-Krankenhaus, Stuttgart, Germany

,

Christian J. Rustenbach

¹Department of Cardiovascular Surgery, Robert-Bosch-Krankenhaus, Stuttgart, Germany

,

Hardy Baumbach

¹Department of Cardiovascular Surgery, Robert-Bosch-Krankenhaus, Stuttgart, Germany

› Author Affiliations

Abstract

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Abstract

This review aims to provide an overview on recent data to evaluate minimally invasive (MVAD) and conventional (CVAD) left ventricular assist device (LVAD) implantation. A comprehensive literature search of PubMed, Cochrane Library, and ClinicalTrials.gov was conducted up to April 2017. A total of 183 studies were identified; 13 studies met inclusion criteria. The review revealed a trend toward a lower rate of transfusion, and shorter time for cardiopulmonary bypass, as well as a lower 30-day mortality rate for MVAD. This review indicates that there are possible benefits of minimally invasive LVAD implantation, even though the state of literature is poor.

Keywords

circulatory assist devices - heart failure - minimally invasive surgery - mini thoracotomy

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References

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