Novel Plug Device for HeartMate 3 Explantation: First Multicenter Experience Article Swipe
Silvia Mariani
,
Tong Li
,
Anna L. Meyer
,
Tracy R. Geoffrion
,
Matthias Fittkau
,
Alexandra Schöde
,
Jasmin S. Hanke
,
Antonio Loforte
,
Axel Haverich
,
Jan D. Schmitto
,
Güneş Doğan
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1097/mat.0000000000001760
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1097/mat.0000000000001760
Patients undergoing explantation of left ventricular assist devices (LVADs) after improvement of myocardial function remain a minority. Nevertheless, considering the growing population of LVAD patients, increasing demand for new explantation strategies is expected. Herein, we present a retrospective review of seven patients undergoing HeartMate3 explantation with the use of a custom-made apical ring plug in four medical centers. The primary outcome was status at intensive care unit discharge. Secondary outcomes included perioperative complications and transfusions. Six out of seven patients were males. The median age at explantation and time on LVAD support was 35 years (range:13–73) and 10 months (range:9–24), respectively. No technical difficulties were experienced during plug implantation via a conventional sternotomy or through a left lateral thoracotomy, either with or without cardiopulmonary bypass. Perioperative transfusions ranged from 0 to 3 units/patient. No re-operations for bleeding, hemorrhagic, embolic, or plug-related infective events were observed. Heparin was started 6 hours after surgery as a bridge to oral anticoagulation (international normalized ratio: 2–2.5). All patients were discharged alive from intensive care unit. This novel plug device for HeartMate3 explantation was successfully and safely implanted in this first patient series. Notwithstanding, its use should still be considered off-label and larger studies are required to investigate its long-term results.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/mat.0000000000001760
- OA Status
- green
- Cited By
- 5
- References
- 21
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4280492381
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4280492381Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/mat.0000000000001760Digital Object Identifier
- Title
-
Novel Plug Device for HeartMate 3 Explantation: First Multicenter ExperienceWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-05-09Full publication date if available
- Authors
-
Silvia Mariani, Tong Li, Anna L. Meyer, Tracy R. Geoffrion, Matthias Fittkau, Alexandra Schöde, Jasmin S. Hanke, Antonio Loforte, Axel Haverich, Jan D. Schmitto, Güneş DoğanList of authors in order
- Landing page
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https://doi.org/10.1097/mat.0000000000001760Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://cris.maastrichtuniversity.nl/en/publications/a3141449-49f1-4157-99f6-0c7bb59bb7efDirect OA link when available
- Concepts
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Medicine, Perioperative, Intensive care unit, Surgery, Thoracotomy, Cardiopulmonary bypass, Ventricular assist device, Retrospective cohort study, Anesthesia, Cardiology, Heart failure, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
- Citations by year (recent)
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2024: 3, 2023: 1, 2022: 1Per-year citation counts (last 5 years)
- References (count)
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21Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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