"Bowing Technique" for Using a Heartmate 3 Mini-Apical Cuff

Authors

Suguru Ohira, From the Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, Valhalla, New York.Follow
Matan Grunfeld, New York Medical College, Valhalla, New York.
Avi Levine, Department of Cardiology, Westchester Medical Center, Valhalla, New York.Follow
Corazon De La Pena, From the Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, Valhalla, New York.
David Spielvogel, From the Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, Valhalla, New York.
Masashi Kai, From the Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, Valhalla, New York.Follow

Author Type(s)

Faculty

DOI

10.1097/MAT.0000000000001830

Journal Title

ASAIO Journal

First Page

e149

Last Page

e151

Document Type

Article

Publication Date

4-1-2023

Department

Surgery

Abstract

A HeartMate 3 mini-apical cuff is designed to facilitate minimally invasive left ventricular assist implantation. A possible problem of using a mini-apical cuff is that multiple buttress braided sutures can interfere with a HeartMate 3 pump when locking the pump. If this happens in a minimally invasive approach, multiple manipulations to engage the pump can cause catastrophic myocardial injury and uncontrollable bleeding, especially in patients with a fragile myocardium. We are reporting a simple and effective technique to prevent suture jamming in the setting of mini-apical cuff implantation utilizing multiple buttress sutures.

Recommended Citation

Ohira, S., Grunfeld, M., Levine, A., De La Pena, C., Spielvogel, D., & Kai, M. (2023). "Bowing Technique" for Using a Heartmate 3 Mini-Apical Cuff. ASAIO Journal, 69 (4), e149-e151. https://doi.org/10.1097/MAT.0000000000001830