A new tool for an explantation strategy of HeartMate 3 left

ventricular assist device

Abstract:

Although rare, recovery of cardiac function after mechanical support of the left ventricle is

the most desirable therapeutic goal in the treatment of end-stage heart failure. Herein, we present a novel

implantable device for explantation of the HeartMate 3 left ventricular assist device (LVAD) in patients,

following cardiac recovery, avoiding (re-) sternotomy. This article demonstrates the feasibility of applying

this novel device, which fits into the sewing ring of the LVAD. This custom-made mechanical plug offers a

promising alternative to standard device-explantation procedures.

First-in-man explantation of a HeartMate 3 left ventricular assist device via customized plug

Abstract:

Myocardial recovery in left ventricular assist device patients is a rare opportunity to explant the assist device. Despite myocardial recovery, these patients remain high-risk candidates. Short, effective procedures are the key to successful left ventricular assist device explantation. Conventional methods such as ventriculoplasty are extensive and challenging procedures. Thus, an explantation tool was developed in order to simplify HeartMate 3 (Abbott Cooperation, Abbott Park, Ill, USA) explantation. A customized metal plug was designed to fit into the HeartMate 3-sewing ring. We now report the successful first-in-man use of this novel plug for HeartMate 3 explantation.