Robotic left ventricular assist device implantation using left thoracotomy approach in patients with previous sternotomies

Zain I Khalpey, Irbaz Bin Riaz, Katherine M. Marsh, Muhammad Zubair Ahmad Ansari, Jawad Bilal, Anthony Cooper, Samata R Paidy, Jan D. Schmitto, Richard Smith, Mark J Friedman, Marvin J Slepian, Robert Poston

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Left ventricular assist devices (LVADs) are commonly used as either a bridge-to-transplant or a destination therapy. The traditional approach for LVAD implantation is via median sternotomy, but many candidates for this procedure have a history of failed cardiac surgeries and previous sternotomy. Redo sternotomy increases the risk of heart surgery, particularly in the setting of advanced heart failure. Robotics facilitates a less invasive approach to LVAD implantation that circumvents some of the morbidity associated with a redo sternotomy. We compared the outcomes of all patients at our institution who underwent LVAD implantation via either a traditional sternotomy or using robotic assistance. The robotic cohort showed reduced resource utilization including length of hospital stay and use of blood products. As the appropriate candidates become elucidated, robotic assistance may improve the safety and cost-effectiveness of reoperative LVAD surgery.

Original languageEnglish (US)
Pages (from-to)e44-e46
JournalASAIO Journal
Volume61
Issue number6
DOIs
StatePublished - Nov 3 2015

Fingerprint

Left ventricular assist devices
Heart-Assist Devices
Sternotomy
Robotics
Thoracotomy
Surgery
Thoracic Surgery
Length of Stay
Transplants
Cost effectiveness
Cost-Benefit Analysis
Blood
Heart Failure
History
Morbidity
Safety

Keywords

  • Congestive heart failure
  • HeartWare
  • HVAD
  • Left ventricular assist device
  • Robotic

ASJC Scopus subject areas

  • Biophysics
  • Biomaterials
  • Bioengineering
  • Biomedical Engineering
  • Medicine(all)

Cite this

Robotic left ventricular assist device implantation using left thoracotomy approach in patients with previous sternotomies. / Khalpey, Zain I; Riaz, Irbaz Bin; Marsh, Katherine M.; Ansari, Muhammad Zubair Ahmad; Bilal, Jawad; Cooper, Anthony; Paidy, Samata R; Schmitto, Jan D.; Smith, Richard; Friedman, Mark J; Slepian, Marvin J; Poston, Robert.

In: ASAIO Journal, Vol. 61, No. 6, 03.11.2015, p. e44-e46.

Research output: Contribution to journalArticle

Khalpey, Zain I ; Riaz, Irbaz Bin ; Marsh, Katherine M. ; Ansari, Muhammad Zubair Ahmad ; Bilal, Jawad ; Cooper, Anthony ; Paidy, Samata R ; Schmitto, Jan D. ; Smith, Richard ; Friedman, Mark J ; Slepian, Marvin J ; Poston, Robert. / Robotic left ventricular assist device implantation using left thoracotomy approach in patients with previous sternotomies. In: ASAIO Journal. 2015 ; Vol. 61, No. 6. pp. e44-e46.
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