Conversion from long-term AB-5000 to EVAHEART using a combined left thoracotomy and sternotomy approach

Masatoshi Akiyama; Naotaka Motoyoshi; Shunsuke Kawamoto; Satoshi Saito; Kenji Yamazaki; Yoshikatsu Saiki

doi:10.1007/s10047-014-0756-2

Conversion from long-term AB-5000 to EVAHEART using a combined left thoracotomy and sternotomy approach

Masatoshi Akiyama, Naotaka Motoyoshi, Shunsuke Kawamoto, Satoshi Saito, Kenji Yamazaki, Yoshikatsu Saiki

Research output: Contribution to journal › Article › peer-review

Abstract

Because of the extreme donor shortage in Japan, waiting times for heart transplantation exceed 2 years. Since 1980s in Japan, device availability has also been an issue, with only a few paracorporeal ventricular assist devices (VADs) available as a bridge to transplantation or recovery. However, two implantable VADs became commercially available in 2011. Given these constraints in our healthcare system, we report a relatively rare case of bridge-to-bridge use of an implanted EVAHEART after having used a paracorporeal AB-5000 support for an extended period of time. We successfully employed a combined left thoracotomy and median sternotomy approach as a conversion technique.

Original language	English
Pages (from-to)	193-196
Number of pages	4
Journal	Journal of Artificial Organs
Volume	17
Issue number	2
DOIs	https://doi.org/10.1007/s10047-014-0756-2
Publication status	Published - 2014 Jun

Keywords

AB-5000
Bridge to bridge
EVAHEART
Ventricular assist device

ASJC Scopus subject areas

Medicine (miscellaneous)
Biomaterials
Biomedical Engineering
Cardiology and Cardiovascular Medicine

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10.1007/s10047-014-0756-2

Cite this

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title = "Conversion from long-term AB-5000 to EVAHEART using a combined left thoracotomy and sternotomy approach",

abstract = "Because of the extreme donor shortage in Japan, waiting times for heart transplantation exceed 2 years. Since 1980s in Japan, device availability has also been an issue, with only a few paracorporeal ventricular assist devices (VADs) available as a bridge to transplantation or recovery. However, two implantable VADs became commercially available in 2011. Given these constraints in our healthcare system, we report a relatively rare case of bridge-to-bridge use of an implanted EVAHEART after having used a paracorporeal AB-5000 support for an extended period of time. We successfully employed a combined left thoracotomy and median sternotomy approach as a conversion technique.",

keywords = "AB-5000, Bridge to bridge, EVAHEART, Ventricular assist device",

author = "Masatoshi Akiyama and Naotaka Motoyoshi and Shunsuke Kawamoto and Satoshi Saito and Kenji Yamazaki and Yoshikatsu Saiki",

note = "Funding Information: Because of the extreme shortage of donor hearts in Japan, the average waiting time for a heart transplant exceeds 2 years. Until recently, 80 % patients waiting for a heart transplant were supported by paracorporeal VADs. However, the outlook is changing because of the introduction of two types of commercially available implantable VADs in 2011, following approval by the Japanese Ministry of Health, Labor and Welfare. In consideration of this history, we relate the relatively rare case of the bridge-to-bridge usage of an implantable VAD after patients had received paracorporeal VAD support for an extended period of time. A combined left thoracotomy and median sternotomy approach was successfully employed as a conversion technique. ",

year = "2014",

month = jun,

doi = "10.1007/s10047-014-0756-2",

language = "English",

volume = "17",

pages = "193--196",

journal = "Journal of Artificial Organs",

issn = "1434-7229",

publisher = "Springer Japan",

number = "2",

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AU - Akiyama, Masatoshi

AU - Motoyoshi, Naotaka

AU - Kawamoto, Shunsuke

AU - Saito, Satoshi

AU - Yamazaki, Kenji

AU - Saiki, Yoshikatsu

N1 - Funding Information: Because of the extreme shortage of donor hearts in Japan, the average waiting time for a heart transplant exceeds 2 years. Until recently, 80 % patients waiting for a heart transplant were supported by paracorporeal VADs. However, the outlook is changing because of the introduction of two types of commercially available implantable VADs in 2011, following approval by the Japanese Ministry of Health, Labor and Welfare. In consideration of this history, we relate the relatively rare case of the bridge-to-bridge usage of an implantable VAD after patients had received paracorporeal VAD support for an extended period of time. A combined left thoracotomy and median sternotomy approach was successfully employed as a conversion technique.

PY - 2014/6

Y1 - 2014/6

N2 - Because of the extreme donor shortage in Japan, waiting times for heart transplantation exceed 2 years. Since 1980s in Japan, device availability has also been an issue, with only a few paracorporeal ventricular assist devices (VADs) available as a bridge to transplantation or recovery. However, two implantable VADs became commercially available in 2011. Given these constraints in our healthcare system, we report a relatively rare case of bridge-to-bridge use of an implanted EVAHEART after having used a paracorporeal AB-5000 support for an extended period of time. We successfully employed a combined left thoracotomy and median sternotomy approach as a conversion technique.

AB - Because of the extreme donor shortage in Japan, waiting times for heart transplantation exceed 2 years. Since 1980s in Japan, device availability has also been an issue, with only a few paracorporeal ventricular assist devices (VADs) available as a bridge to transplantation or recovery. However, two implantable VADs became commercially available in 2011. Given these constraints in our healthcare system, we report a relatively rare case of bridge-to-bridge use of an implanted EVAHEART after having used a paracorporeal AB-5000 support for an extended period of time. We successfully employed a combined left thoracotomy and median sternotomy approach as a conversion technique.

KW - AB-5000

KW - Bridge to bridge

KW - EVAHEART

KW - Ventricular assist device

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Conversion from long-term AB-5000 to EVAHEART using a combined left thoracotomy and sternotomy approach

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Keywords

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