Overview

• Two most common LVAD implants are Heartware HVAD and Abbott Heart Mate 3
  • Both are centrifugal pumps that are placed intrapericardially
  • No intraperitoneal incision required

High Yield Checklist

• [ ] Elective or Emergent?
• [ ] Redo Sternotomy? —> Blood in the room
• [ ] Pre-existing Lines —> Replace?
• [ ] Vasoactive therapy —> Continue from pre-op
• [ ] AICD present —> Turn off tachytherapy
• [ ] Pacer dependent —> Asynchronous Mode
• [ ] Intracardiac shunts
• [ ] RV Dysfunction, Dilation, TR
• [ ] AI > Mild
• [ ] Left sided thrombus
• [ ] Mitral Stenosis
• [ ] Anticoagulation status
• [ ] Inflow cannula position
• [ ] Outflow cannula velocities

Comprehensive Checklist

Preoperative