The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Oct 2023
Editorial CommentCommentary: Finding the wheat in the weeds.
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J. Thorac. Cardiovasc. Surg. · Oct 2023
A novel intrapericardial pulsatile device for individualized, biventricular circulatory support without direct blood contact.
Due to severely limited donor heart availability, durable mechanical circulatory support remains the only treatment option for many patients with end-stage heart failure. However, treatment complexity persists due to its univentricular support modality and continuous contact with blood. We investigated the function and safety of reBEAT (AdjuCor GmbH), a novel, minimal invasive mechanical circulatory support device that completely avoids blood contact and provides pulsatile, biventricular support. ⋯ The present study demonstrates biventricular cardiac support with reBEAT. Various demonstrated features are essential for realistic translation into the clinical setting, including safe implantation, anatomical fit, safe device-tissue integration, and real-time electrocardiogram synchronized mechanical support, result in effective device function and long-term safety.
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J. Thorac. Cardiovasc. Surg. · Oct 2023
Editorial CommentCommentary: A difficult group of patients.