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Less Invasive Extra-pericardial Placement (LIEPP) of LVAD

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Mechanical Support for Heart Failure

Abstract

Left ventricular assist devices placement has traditionally been approached via median sternotomy. This approach involves some risk in the setting of redo sternotomy during placement of an LVAD or for future transplantation. Sternotomy sparing approaches have traditionally been utilized in high-risk cases; however as LVAD technology has advanced and miniaturized, this has allowed for less invasive sternal-sparing approaches. This chapter describes the preoperative planning and surgical technique used at our institution to safely accomplish a less invasive extra-pericardial placement (LIEPP) of LVAD.

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Correspondence to Pramod Bonde MD .

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Saffarzadeh, A., Bonde, P. (2020). Less Invasive Extra-pericardial Placement (LIEPP) of LVAD. In: Karimov, J., Fukamachi, K., Starling, R. (eds) Mechanical Support for Heart Failure . Springer, Cham. https://doi.org/10.1007/978-3-030-47809-4_16

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  • DOI: https://doi.org/10.1007/978-3-030-47809-4_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47808-7

  • Online ISBN: 978-3-030-47809-4

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