How to evaluate the outflow tract of LVAD after minimally invasive implantation by 3D CT‐scan
During a minimally invasive implantation technique, the outflow graft of left ventricular assist device (LVAD) is tunnelled blindly through the pericardium or left pleura, with an inability to assess for twisting or malposition. Three‐dimensional computed tomography scan (CT‐scan) has a role in qual...
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| Veröffentlicht in: | Artificial organs 2020-12, Vol.44 (12), p.1306-1309 |
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| creator | Gallo, Michele Spigolon, Luca Bejko, Jonida Gerosa, Gino Bottio, Tomaso |
| description | During a minimally invasive implantation technique, the outflow graft of left ventricular assist device (LVAD) is tunnelled blindly through the pericardium or left pleura, with an inability to assess for twisting or malposition. Three‐dimensional computed tomography scan (CT‐scan) has a role in qualitative evaluation of the different outflow tract configurations. The different surgical minimally invasive approaches include: (a) mini‐sternotomy and left mini‐thoracotomy, (b) right mini‐thoracotomy and left mini‐thoracotomy, (c) subclavian artery access and left mini‐thoracotomy. The outflow graft could be anastomosed to the left axillary artery or the ascending aorta. CT‐scan reconstruction using syngo InSpace4D (Siemens, Muenchen, Germany) was used to provide fast segmentation and high‐resolution images. The 3D reconstructions permit an evaluation of different anastomosis configurations and to assess the route of outflow graft. |
| doi_str_mv | 10.1111/aor.13777 |
| format | Article |
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Three‐dimensional computed tomography scan (CT‐scan) has a role in qualitative evaluation of the different outflow tract configurations. The different surgical minimally invasive approaches include: (a) mini‐sternotomy and left mini‐thoracotomy, (b) right mini‐thoracotomy and left mini‐thoracotomy, (c) subclavian artery access and left mini‐thoracotomy. The outflow graft could be anastomosed to the left axillary artery or the ascending aorta. CT‐scan reconstruction using syngo InSpace4D (Siemens, Muenchen, Germany) was used to provide fast segmentation and high‐resolution images. 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| subjects | Anastomosis Aorta Computed tomography Configurations CT‐scan Evaluation Grafting Heart Image processing Image reconstruction Image segmentation Implantation left ventricular assist device minimally invasive Ostomy Outflow outflow tract Pericardium Pleura Twisting Ventricle |
| title | How to evaluate the outflow tract of LVAD after minimally invasive implantation by 3D CT‐scan |
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