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Mechanische kardiale Langzeitunterstützungssysteme mit minimal-invasiver Operationstechnik

Minimally invasive implantable long-term left ventricular assist devices

  • Kardiotechnik/EKZ
  • Published:
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Durch Fortschritte in der Technik ist es möglich, miniaturisierte Langzeitunterstützungssysteme zu entwickeln. Diese kleineren Pumpen können häufig in einer minimal-invasiven Operation ohne Einsatz der Herz-Lungen-Maschine und unter Vermeidung einer medianen Sternotomie implantiert werden. Dieser Artikel gibt mittels einer Studienanalyse einen Überblick über die aktuell vorhandenen und ggf. in Zukunft erhältlichen minimal-invasiv implantierbaren Linksherzunterstützungssysteme.

Abstract

Due to advances in engineering and device technology, it is possible to miniaturize long-term cardiac support devices. These smaller pumps can often be implanted during minimally invasive surgery without using a heart-lung machine and avoiding a median sternotomy. This article gives an overview of the minimally invasive implantable left ventricular assist devices that are currently available in studies or will be available in the future.

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Literatur

  1. Rogers JG et al (2010) Continuous flow left ventricular assist device improves functional capacity and quality of life of advanced heart failure patients. J Am Coll Cardiol 55(17):1826–1834

    Article  PubMed  Google Scholar 

  2. Rogers JG et al (2011) Cost-effectiveness analysis of continuous flow left ventricular assist devices as destination therapy. Circ Heart Fail 5(1):10–16

    Article  PubMed  Google Scholar 

  3. Rose EA et al (2001) Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med 345(20):1435–1443

    Article  PubMed  CAS  Google Scholar 

  4. Adamson RM et al (2011) Clinical strategies and outcomes in advanced heart failure patients older than 70 years of age receiving the HeartMate II left ventricular assist device: a community hospital experience. J Am Coll Cardiol 57(25):2487–2495

    Article  PubMed  Google Scholar 

  5. Park SJ et al (2012) Outcomes in advanced heart failure patients with left ventricular assist devices for destination therapy. Circ Heart Fail 5(2):241–248

    Article  PubMed  Google Scholar 

  6. Anyanwu AC (2011) Technique for less invasive implantation of Heartmate II left ventricular assist device without median sternotomy. Semin Thorac Cardiovasc Surg 23(3):241–244

    Article  PubMed  Google Scholar 

  7. Schmitto JD et al (2011) Implantation of a centrifugal pump as a left ventricular assist device through a novel, minimized approach: upper hemisternotomy combined with anterolateral thoracotomy. J Thorac Cardiovasc Surg 143(2)511–513

    Google Scholar 

  8. Selzman CH, Sheridan BC (2007) Off-pump insertion of continuous flow left ventricular assist devices. J Card Surg 22(4):320–322

    Article  PubMed  Google Scholar 

  9. Maybaum S et al (2002) Partial loading of the left ventricle during mechanical assist device support is associated with improved myocardial function, blood flow and metabolism and increased exercise capacity. J Heart Lung Transplant 21(4):446–454

    Article  PubMed  Google Scholar 

  10. Morley D et al (2007) Hemodynamic effects of partial ventricular support in chronic heart failure: results of simulation validated with in vivo data. J Thorac Cardiovasc Surg 133(1):21–28

    Article  PubMed  Google Scholar 

  11. Meyns B et al (2008) First human use of partial left ventricular heart support with the Circulite synergy micro-pump as a bridge to cardiac transplantation. Eur Heart J 29(20):2582

    Article  PubMed  Google Scholar 

  12. Meyns B et al (2009) Proof of concept: hemodynamic response to long-term partial ventricular support with the synergy pocket micro-pump. J Am Coll Cardiol 54(1):79–86

    Article  PubMed  Google Scholar 

  13. Meyns BP et al (2011) Clinical benefits of partial circulatory support in New York Heart Association Class IIIB and Early Class IV patients. Eur J Cardiothorac Surg 39(5):693–698

    Article  PubMed  Google Scholar 

  14. Klotz S et al (2010) Partial mechanical long-term support with the CircuLite Synergy pump as bridge-to-transplant in congestive heart failure. Thorac Cardiovasc Surg 58(Suppl 2):173–178

    Article  Google Scholar 

  15. Sales VL, McCarthy PM (2010) Understanding the C-pulse device and its potential to treat heart failure. Curr Heart Fail Rep 7(1):27–34

    Article  PubMed  Google Scholar 

  16. Hayward CS et al (2010) Chronic extra-aortic balloon counterpulsation: first-in-human pilot study in end-stage heart failure. J Heart Lung Transplant 29(12):1427–1432

    Article  PubMed  Google Scholar 

  17. Bartoli CR et al (2010) A novel subcutaneous counterpulsation device: acute hemodynamic efficacy during pharmacologically induced hypertension, hypotension, and heart failure. Artif Organs 34(7):537–545

    Article  PubMed  Google Scholar 

  18. Flint KM et al (2012) Frailty and the selection of patients for destination therapy left ventricular assist device. Circ Heart Fail 5(2):286–293

    Article  PubMed  Google Scholar 

  19. Legget ME et al (2005) Extra-aortic balloon counterpulsation: an intraoperative feasibility study. Circulation 112(Suppl 9):126–131

    Article  Google Scholar 

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  1. Klinik für Herz- und thorakale Gefäßchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Deutschland

    S. Klotz

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  1. S. Klotz
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Correspondence to S. Klotz.

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Klotz, S. Mechanische kardiale Langzeitunterstützungssysteme mit minimal-invasiver Operationstechnik. Z Herz- Thorax- Gefäßchir 26, 245–252 (2012). https://doi.org/10.1007/s00398-012-0936-4

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  • DOI: https://doi.org/10.1007/s00398-012-0936-4

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