Minimally Invasive Left Ventricular Assist Device Implantation: A Systematic Review of Current Evidence on Clinical Outcomes and Surgical Approaches.

ABSTRACT:

Background/objectives

Minimally invasive cardiac surgical (MICS) approaches to the implantation of left ventricular assist devices (LVADs) have gained increasing interest as alternatives to full median sternotomy (FS), particularly in patients with prior cardiac surgeries or elevated surgical risk. However, evidence regarding their safety, feasibility, and clinical outcomes remains fragmented. This systematic review aimed to evaluate the effectiveness and safety of minimally invasive techniques for LVAD implantation in comparison to standard sternotomy, with a focus on mortality, perioperative complications, intensive care unit (ICU) stay, and infection rates.

Methods

A comprehensive literature search was conducted in PubMed, Web of Science, Science Direct, Cochrane Library,

SUBMITTER: Turtabayev B 

PROVIDER: S-EPMC12452320 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature