The necessity for a secondary right heart assist device (RVAD) is a disastrous complication
in left ventricular assist device (LVAD) support with respect to both complications
and outcome. We have developed a new technique for inflow and outflow cannulation
via a transcutaneous cannula in the femoral vein and a prosthesis-supported arterial
cannula into the pulmonary artery, which does not necessitate rethoracotomy for device
explantation. In addition to the simplified RVAD removal this transcutaneous approach
may reduce the complications in patients requiring RVAD support.
Right heart failure - assist devices - surgical technique