The implantation of Ventricular Assist Devices (VADs) is a complex surgical procedure that requires precision and expertise. In this blog, we will walk you through the process of implanting a VAD, highlighting the key steps involved and the considerations taken to ensure successful outcomes.
Preoperative Assessment:
Before the Ventricular Assist Devices implantation, the patient undergoes a thorough preoperative assessment, including imaging tests, blood work, and evaluation of overall health and fitness for surgery. This assessment helps the medical team determine the most suitable VAD type and plan the procedure accordingly.
Anesthesia and Incision:
Once in the operating room, the patient is administered general anesthesia to ensure they are asleep and pain-free during the surgery. The surgeon then makes an incision in the chest, typically in the midline, to access the heart.
Cannulation and Connection:
Cannulation involves the insertion of tubes (cannulas) into the heart chambers and major blood vessels. The cannulas are carefully positioned to allow blood flow to and from the VAD. The tubes are then connected to the VAD itself, which is usually placed in the abdomen or the chest.
Testing and Calibration:
After the VAD is connected, the surgical team performs tests to ensure proper functionality and calibration. This involves verifying blood flow, pressure, and adjusting the settings of the VAD to match the patient's needs.
Closure and Recovery:
Once the VAD is functioning correctly, the surgeon closes the incision, taking care to ensure proper wound closure. The patient is then transferred to the intensive care unit (ICU) for close monitoring during the initial recovery phase.
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