How to evaluate the outflow tract of LVAD after minimally invasive implantation by 3D CT-scan.
Anastomosis, Surgical
/ adverse effects
Aorta
/ diagnostic imaging
Cardiac Output
/ physiology
Cerebrovascular Circulation
/ physiology
Coronary Circulation
/ physiology
Feasibility Studies
Female
Heart Failure
/ surgery
Heart Ventricles
/ diagnostic imaging
Heart-Assist Devices
/ adverse effects
Humans
Imaging, Three-Dimensional
Male
Minimally Invasive Surgical Procedures
/ adverse effects
Postoperative Complications
/ diagnosis
Prosthesis Implantation
/ adverse effects
Subclavian Artery
/ diagnostic imaging
Tomography, X-Ray Computed
Treatment Outcome
CT-scan
left ventricular assist device
minimally invasive
outflow tract
Journal
Artificial organs
ISSN: 1525-1594
Titre abrégé: Artif Organs
Pays: United States
ID NLM: 7802778
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
08
06
2020
revised:
03
07
2020
accepted:
10
07
2020
pubmed:
16
7
2020
medline:
14
9
2021
entrez:
16
7
2020
Statut:
ppublish
Résumé
During a minimally invasive implantation technique, the outflow graft of left ventricular assist device (LVAD) is tunnelled blindly through the pericardium or left pleura, with an inability to assess for twisting or malposition. Three-dimensional computed tomography scan (CT-scan) has a role in qualitative evaluation of the different outflow tract configurations. The different surgical minimally invasive approaches include: (a) mini-sternotomy and left mini-thoracotomy, (b) right mini-thoracotomy and left mini-thoracotomy, (c) subclavian artery access and left mini-thoracotomy. The outflow graft could be anastomosed to the left axillary artery or the ascending aorta. CT-scan reconstruction using syngo InSpace4D (Siemens, Muenchen, Germany) was used to provide fast segmentation and high-resolution images. The 3D reconstructions permit an evaluation of different anastomosis configurations and to assess the route of outflow graft.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1306-1309Informations de copyright
© 2020 International Center for Artificial Organs and Transplantation and Wiley Periodicals LLC.
Références
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