115Surgical Implant and Explant of the HVAD® Pump
10
9
8
7
6
5
4
3
2
1
Appendix
Reference
Guides
Alarms and
Emergencies
Patient
Management
Surgical
Implant and
Explant
Monitor
Peripherals
and
Accessories
HVAD
®
PumpOverviewIntroduction
6.3 HVAD
®
Pump Pre-Implant Test and Pump Assembly (continued)
Outow Graft Attachment (continued)
7.
conduit.
8.
if necessary.
9. Clamp the HVAD
®
towel.
6.4 Surgical Implant Procedure
NOTE: In order to optimize patient outcomes HeartWare suggests that the following techniques be
considered at the time of HVAD
®
Pump implant:
TEE
– Inspect LA and LV for thrombus – thoroughly remove any thrombus present
– Check for PFO – PFO should be surgically repaired prior to HVAD
®
Pump implant
Coring
– After coring, make sure margins of the core are clean and smooth
– Perform visual inspection of cored area and remove any loose tissue and/or clots
De-Airing
– After placement of HVAD
®
– Elevate the apex of the heart and shake gently to remove any entrapped air in the heart/ HVAD
®
Pump.
complete the de-airing process using standard technique.
Pump Speed (RPM)
– Prior to starting the HVAD
®
Pump, the LV should be full. The pump must always start at 1800 RPM.
– Speed should be increased by no more than 100 RPM at a time.
– Increase the HVAD
®
Pump speed slowly to avoid suction events. Suction events can lead to the
ingestion of tissue/clot from inside the LV, and may also lead to episodes of ectopy.
To Next Page
Loading...