Minimally Invasive Removal of a Temporary RVAD

Ivan Netuka, Peter Ivák, Ondrej Szarszoi, Marian Urban, Jiří Novotný, Josef Bešík, Jiri Malý

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

We describe a minimally invasive technique for the removal of a temporary right ventricular assist device (RVAD) that provided support concomitant with durable left ventricular assist device support. The RVAD cannulas are mobilized through a small subxiphoid incision at the cannula exit site. Both cannulas are transected subcutaneously, then occluded with plugs made of rolled bovine pericardium, and the skin is closed. The cannula remnants are left in place until heart transplantation is accomplished. To minimize risk of thrombus formation at the cannula tips and subsequent embolization into the right atrium or pulmonary artery, anticoagulation is increased to achieve an international normalized ratio (INR) in the range of 2.5-3.0.

Original languageEnglish (US)
Pages (from-to)202-204
Number of pages3
JournalASAIO Journal
Volume61
Issue number2
DOIs
StatePublished - Jul 21 2015

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Keywords

  • LVAD
  • RVAD
  • explantation
  • right heart failure

ASJC Scopus subject areas

  • Biophysics
  • Bioengineering
  • Biomaterials
  • Biomedical Engineering

Cite this

Netuka, I., Ivák, P., Szarszoi, O., Urban, M., Novotný, J., Bešík, J., & Malý, J. (2015). Minimally Invasive Removal of a Temporary RVAD. ASAIO Journal, 61(2), 202-204. https://doi.org/10.1097/MAT.0000000000000184