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The first LVAD was implanted in 1963 by Liotta and E. Stanley Crawford. The first successful implantation of an LVAD was completed in 1966 by Liotta along with Dr. Michael E. DeBakey. The patient was a 37-year-old woman, and a paracorporeal (external) circuit was able to provide mechanical support for 10 days after the surgery. [23]
Berlin Heart manufactures two types of VADs: implantable and paracorporeal. INCOR is an axial-flow pump for support of the left ventricle.In this system, the pump is implanted directly next to the heart and is connected to the heart by cannula.
Ventricular assist devices require open-heart surgery for implantation. An incision is made through the breastbone to expose the heart. Heparin will be given to keep the patients blood from clotting. The blood is rerouted to a heart-lung machine that will pump and oxygenate blood. A pocket for the LVAD is formed in the abdominal wall.
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Thoratec's third-generation HeartMate LVAD is the HeartMate 3, [48] [49] designed to lower adverse event rates through improved hemocompatibility, and to increase ease of surgical placement through new design and compact size. [50] [51] It began undergoing clinical trials in the U.S. and internationally in mid 2014. [48] [49] [50] [52] [53]
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In 1986, Texas Heart Institute performed the first peripheral laser procedure in Texas– and one of the first in the United States– and the first implant of the HeartMate pneumatically powered LVAD as a bridge-to-transplant. [21] [22] In 1991, the first patient in the world left the hospital with an electric, portable, battery-powered LVAD. [23]
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