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Eur J Cardiothorac Surg 2000;17:336-337
© 2000 Elsevier Science NL

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Simple method of hemostasis in implantation and explantation of HeartMate left ventricular assist device

Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan

Corresponding author. Tel.: +886-2-2356-2121; fax: +886-2-2341-0933
e-mail: shchu{at}ha.mc.ntu.edu.tw

We described a simple method of hemostasis in implantation and explantation of HeartMate left ventricular assist device. Wrapping of the inflow cannula, outflow conduit and outflow graft with Vascutek tube graft can localize the bleeding due to patient's coagulopathy, imperfect coating and device defect. During explantation, bivalving the tube graft, leaving the graft in place and no-touch of the adhesion between graft and soft tissue can minimize the dissection and prevent the potential bleeding.

Key Words: Hemostasis • HeartMate left ventricular assist device