Sternal-sparing Jarvik 2000 implantation, heart transplantation and driveline pedestal removal

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Jarvik 2000: evolution of surgical implantation from conventional to minimally invasive technique.

The Jarvik 2000 is a continuous axial flow left ventricular assist device (LVAD) with an impeller type pump. It has a unique power delivery system, which is tunneled to a retroauricular skull pedestal in order to minimize driveline infections (1). Conventional implantation of the Jarvik 2000 is performed off-pump through a left postero-lateral thoracotomy, with the outflow conduit anastomosed t...

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Implantation of the permanent Jarvik-2000 left ventricular assist device: a single-center experience.

OBJECTIVES We sought to evaluate the surgical results and effects of continuous support with the permanent Jarvik-2000 left ventricular assist device (LVAD). We report the early outcomes. BACKGROUND A shortage of transplant donors necessitates the testing of alternative treatments. The Jarvik-2000 is an axial flow pump with a percutaneous retro-auricular power connector, designed for permanen...

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The Jarvik 2000 is associated with less infections than the HeartMate left ventricular assist device.

OBJECTIVES Device-related infections remain a considerable problem of left-ventricular support. We compared the device-related-infections between the HeartMate left ventricular assist device (LVAD) and the Jarvik 2000 permanent LVAD, a device with a novel retroauricular power-supply. METHODS Between December 2000 and September 2002 we implanted the HeartMate-vented, electrical-system in 11 pa...

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Use of Jarvik 2000 left ventricular assist device for treating acutely decompensated heart failure.

A 57-year-old patient experienced acute decompensation of heart failure and pulmonary oedema (Fig. 1). Off-pump implantation of Jarvik 2000 was performed as a salvage procedure as well as bridge to transplantation with immediate clinical improvement (Fig. 2). Use of a short-term VAD for symptomatic relief can be avoided. Fig. 1. Chest roentgenogram showing a heart with idiopathic dilated cardio...

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How dose sparing of cardiac structures correlates with in‐field heart volume and sternal displacement

Cardiac irradiation increases the risk of coronary artery disease in patients with left-sided breast cancer. Techniques exist to reduce cardiac irradiation, but the optimum technique depends on individual patient anatomy and physiology. We investigated the correlation of delta heart volume in field (dHVIF) and sternal excursion with dose sparing in heart and left anterior descending artery (LAD...

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ژورنال

عنوان ژورنال: Annals of Cardiothoracic Surgery

سال: 2021

ISSN: 2225-319X,2304-1021

DOI: 10.21037/acs-2020-cfmcs-27