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How to implant the Jarvik 2000 post-auricular driveline: evolution to a novel technique

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  • Artificial Heart (Clinical)
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Abstract

The post-auricular (PA) driveline positioning for percutaneous power delivery is a specific feature of the Jarvik 2000 FlowMaker LVAD. We applied several technical refinements to optimise the PA implant. Here, we present and discuss these modifications. We retrospectively reviewed all patients implanted with Jarvik 2000 at our Institution. Different PA implant techniques were described. A machine learning analysis was performed to evaluate the determinants of driveline infection. From December 2008 to December 2017, 62 patients were implanted with Jarvik 2000, at our Institution. The PA connection was managed through the “question mark-shaped” incision in 24 patients (39%) and with the “C-shaped” in 18 (29%), whereas 10 (16%) cases received the “vertical incision” and 10 (16%) the “orthogonal incision”. The implant technique resulted highly predictive of driveline infection. The rate of driveline infections was numerically lower among cases managed with the last two techniques. After evolving through different implant techniques, we propose and suggest the “orthogonal incision” to maximise the advantages of the Jarvik 2000 post-auricular driveline.

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Authors and Affiliations

  1. Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padua, Italy

    Massimiliano Carrozzini, Jonida Bejko, Dario Gregori, Gino Gerosa & Tomaso Bottio

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  1. Massimiliano Carrozzini
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  2. Jonida Bejko
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  3. Dario Gregori
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  4. Gino Gerosa
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  5. Tomaso Bottio
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Correspondence to Massimiliano Carrozzini.

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Surgical procedure to implant the Jarvik 2000 post-auricular driveline with the “orthogonal incision” (MP4 75822 kb)

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Carrozzini, M., Bejko, J., Gregori, D. et al. How to implant the Jarvik 2000 post-auricular driveline: evolution to a novel technique. J Artif Organs 22, 188–193 (2019). https://doi.org/10.1007/s10047-019-01104-8

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  • DOI: https://doi.org/10.1007/s10047-019-01104-8

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