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

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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.",

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AU - Akiyama, Masatoshi

AU - Motoyoshi, Naotaka

AU - Kawamoto, Shunsuke

AU - Saito, Satoshi

AU - Yamazaki, Kenji

AU - Saiki, Yoshikatsu

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