Continuous-flow left ventricular assist device implantation is the typical treatment for end-stage heart failure. Improvements in device engineering and technology, surgical experience and technique, and perioperative management have advanced the field, and short-term results approach those of heart transplantation. Further improvements may be achieved by minimizing adverse physiologic effects associated with cardiopulmonary bypass. Therefore, we have developed an off-pump implantation approach for continuous-flow left ventricular assist devices. We detail our surgical technique for off-pump implantation of the HeartWare device.

中文翻译：

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非体外循环连续流左心室辅助装置植入术

连续流左心室辅助装置植入是终末期心力衰竭的典型治疗方法。设备工程和技术、手术经验和技术以及围手术期管理的改进推动了该领域的发展，短期结果接近心脏移植的结果。通过最大限度地减少与体外循环相关的不利生理影响，可以实现进一步的改进。因此，我们开发了一种用于连续流动左心室辅助装置的非体外循环植入方法。我们详细介绍了 HeartWare 装置非体外循环植入的手术技术。