Abstract
With the exception of percuneously placed VADs and the CentriMag device (Thoratec Inc., Pleasanton, CA), each VAD system uses a specific outflow graft and arterial cannula [1–6]. The diameter of these grafts range from 10 to 20 mm. Some are porous, and others are collagen-coated to reduce porosity. To minimize bleeding, non-coated porous grafts require preclotting with the patient’s blood or other materials, such as albumin or a surgical adhesive (e.g., BioGlue, CryoLife, Kennesaw, GA). Each VAD system manufacturer has specific, required procedures for preparing the graft before implantation. Currently, last generation of VADs [1–6] has pre-coated Dacron outflow grafts such as HVAD (HeartWare Inc., Miami, FLA) and HeartMate III (Thoratec Inc., Pleasanton, CA) or the silicon material does not need pre-coating such as INCOR (Berlin Heart GmbH, Berlin, Germany).
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Loforte, A., Fiane, A.E. (2017). Techniques for Outflow Cannula Placement. In: Montalto, A., Loforte, A., Musumeci, F., Krabatsch, T., Slaughter, M. (eds) Mechanical Circulatory Support in End-Stage Heart Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-43383-7_27
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DOI: https://doi.org/10.1007/978-3-319-43383-7_27
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