NYMC Faculty Publications

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

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.

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