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2015•Multimedia Manual of Cardio-Thoracic SurgeryRequires access

Orthotopic heart transplantation: the bicaval technique

Giuseppe Toscano, Tomaso Bottio, Antonio Gambino, Lorenzo Bagozzi, Alvise Guariento, Giacomo Bortolussi, Michele Gallo, Vincenzo Tarzia, Gino Gerosa

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Abstract

Heart transplantation still remains the gold standard therapy for end-stage heart failure, although several other approaches have emerged, such as biventricular pacing, left ventricular assist devices (LVADs) and total artificial heart. Moreover, the increasing use of LVADs as a bridge to transplant is posing the technical challenge of LVAD removal during the procedure. We in this paper describe the bicaval technique, which currently represents the routine approach for orthotopic heart transplantation.

About this research paper

What this paper is about

Heart transplantation still remains the gold standard therapy for end-stage heart failure, although several other approaches have emerged, such as biventricular pacing, left ventricular assist devices (LVADs) and total artificial heart. Moreover, the increasing use of LVADs as a bridge to transplant is posing the technical challenge of LVAD removal during the procedure. We in this paper describe the bicaval technique, which currently represents the routine approach for orthotopic heart transplantation.

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OpenAlex reports 9 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

Heart transplantation still remains the gold standard therapy for end-stage heart failure, although several other approaches have emerged, such as biventricular pacing, left ventricular assist devices (LVADs) and total artificial heart. Moreover, the increasing use of LVADs as a bridge to transplant is posing the technical challenge of LVAD removal during the procedure. We in this paper describe the bicaval technique, which currently represents the routine approach for orthotopic heart transplantation.

Key concepts: Medicine, Heart transplantation, Bridge to transplantation, Heart failure, Transplantation, Cardiology, Destination therapy, Gold standard (test)

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