What types of LVADs are used at Cleveland Clinic?
The most common types of LVADs used at Cleveland Clinic are the Heartmate 3 and the HeartWare. Your doctor will talk to you about these LVADs if they are right for you.
The Heartmate 3 is approved by the US Food and Drug Administration (FDA) for bridge-to-transplant and destination therapy.
Heartmate 3 is a circular pump that is implanted into the apex of the heart. The controller is powered by two batteries or electricity from a wall outlet.
Abbott and HeartMate III™ are trademarks of Abbott. And/or Reproduced with permission of Abbott, ©2018. All rights reserved.
The HeartWare is approved by the FDA for bridge-to-transplant therapy and destination therapy.
HeartWare HVAD is a circular pump that is implanted into the apex of the heart. The controller is of the HVAD is powered by one battery and either a second battery, or an AC adapter (plugs into the wall) or a DC adapter (plugs into car). The controller requires two power sources to be connected at all times. One battery will provide 4-5 hours of power. When the battery is low on power, it will need to be replaced. You will have extra batteries and a battery charger.
Abbott and HeartMate II™ are trademarks of Abbott. And/or Reproduced with permission of Abbott, ©2018. All rights reserved.
The Thoratec Heartmate II is approved by the FDA for bridge-to-transplant therapy and destination therapy. It is a pump that is implanted into the apex of the heart under the muscle layers of the abdomen. The controller is powered by two batteries or electricity from a wall outlet.
Open heart surgery is needed to implant an LVAD. The surgery is done under general anesthesia and you will be asleep the entire time. The procedure lasts 4-6 hours.
The surgeon will make an incision down your chest and open your chest bone (sternum) to reach your heart and attach the LVAD. At times, depending on your situation, the doctors may elect to make an incision on the left side of your chest (Thoracotomy).
During the surgery, a heart-lung bypass machine may be used to circulate oxygen-rich blood throughout your body during surgery. A breathing machine (ventilator) will take over for your breathing during the surgery. The incision will be closed after the LVAD is in place.
Every patient has a different recovery, so the amount of time you will stay in the hospital depends on your individual needs. A typical hospital stay after LVAD surgery is 14-21 days.