Less invasive left ventricular assist device implantation—a match changer!

David C. Reineke, Thierry P. Carrel


Dr. Maltais manuscript (1) is a nice overview touching every major aspect regarding the strategy and the most important steps of less invasive left ventricular assist device (LVAD) implantation. This work gives an answer to the question why centers with very good results following LVAD implantation through a conventional sternotomy approach should adopt less invasive strategies when implanting second and third generation continuous flow devices as outlined in the Vanderbilt paper.