Ventricular assist device and related methods
A method and system are provided for percutaneously gaining access to oxygenated blood with one or more anastomosis devices and pumping such oxygenated blood directly to the aorta adjacent to the right atrium or left atrium via a VAD system. In one embodiment, a VAD system can be implanted with open surgery.
1. A method for percutaneously connecting a ventricular assist device to a heart, the method comprising:
accessing a right atrium of the heart with a catheter;
puncturing a septum of the heart to access oxygenated blood in a left atrium of the heart;
implanting a first anastomosis device in the septum;
puncturing the heart to access an aortic artery, where the aortic artery is adjacent to the heart;
implanting a second anastomosis device to maintain access to the aortic artery;
connecting a pumping device and at least one conduit, the at least one conduit positioned in the right atrium to extend between the first anastomosis device and the second anastomosis device, the pumping device configured to pump arterial blood from the left atrium to the aortic artery;
withdrawing the catheter from the heart over a filament extending from the pumping device; and
securing the filament to a controller to be exposed on the patient, the controller for controlling the pumping device.
2. The method according to claim 1 , further comprising accessing the right atrium of the heart with a second catheter to perform the puncturing the heart to access the aortic artery.
3. The method according to claim 2 , further comprising accessing the right atrium of the heart with a third catheter to perform the connecting the pumping device and the at least one conduit between the first anastomosis device and the second anastomosis device.
4. The method according to claim 1 , further comprising snaring the filament with a snare device and pulling the filament through the superior vena cava to be exposed at an upper region of the patient to interconnect with the controller.
5. The method according to claim 1 , wherein the implanting the first anastomosis device and the implanting the second anastomosis device is performed with a common catheter.
6. The method according to claim 1 , wherein the connecting the pump and the at least one conduit is performed with a common catheter.
7. A method for percutaneously connecting a ventricular assist device to a heart, the method comprising:
accessing a right atrium of the heart with a catheter;
puncturing a septum of the heart to access oxygenated blood in a left atrium of the heart;
implanting a first anastomosis device in the septum;
puncturing the heart to access an aortic artery, where the aortic artery is adjacent to the heart;
implanting a second anastomosis device to maintain access to the aortic artery;
connecting a pumping device and at least one conduit, the at least one conduit positioned in the right atrium to extend between the first anastomosis device and the second anastomosis device, the pumping device configured to pump arterial blood from the left atrium to the aortic artery;
accessing the right atrium of the heart with a second catheter to perform the puncturing of the heart to access the aortic artery; and
accessing the right atrium of the heart with a third catheter to perform the connecting the pumping device and the at least one conduit between the first anastomosis device and the second anastomosis device.
8. The method according to claim 7 , further comprising withdrawing the catheter from the heart over a filament extending from the pumping device.
9. The method according to claim 8 , further comprising securing the filament to a controller to be exposed on the patient, the controller for controlling the pumping device.
10. The method according to claim 9 , further comprising snaring the filament with a snare device and pulling the filament through the superior vena cava to be exposed at an upper region of the patient to interconnect with the controller.
11. The method according to claim 7 , wherein the implanting the first anastomosis device and the implanting the second anastomosis device is performed with a common catheter.
12. The method according to claim 7 , wherein the connecting the pump and the at least one conduit is performed with a common catheter.
13. A method for percutaneously connecting a ventricular assist device to a heart, the method comprising:
accessing a right atrium of the heart with a catheter;
puncturing a septum of the heart to access oxygenated blood in a left atrium of the heart;
implanting a first anastomosis device in the septum;
puncturing the heart to access an aortic artery, where the aortic artery is adjacent to the heart;
implanting a second anastomosis device to maintain access to the aortic artery;
connecting a pumping device and at least one conduit, the at least one conduit positioned in the right atrium to extend between the first anastomosis device and the second anastomosis device, the pumping device configured to pump arterial blood from the left atrium to the aortic artery;
withdrawing the catheter from the heart over a filament extending from the pumping device; and
snaring the filament with a snare device and pulling the filament through the superior vena cava to be exposed at an upper region of the patient to interconnect with a controller, the controller for controlling the pumping device.
14. The method according to claim 13 , further comprising accessing the right atrium of the heart with a second catheter to perform the puncturing the heart to access the aortic artery.
15. The method according to claim 14 , further comprising accessing the right atrium of the heart with a third catheter to perform the connecting the pumping device and the at least one conduit between the first anastomosis device and the second anastomosis device.
16. The method according to claim 13 , further comprising securing the filament to the controller to be exposed on the patient.
17. The method according to claim 13 , wherein the implanting the first anastomosis device and the implanting the second anastomosis device is performed with a common catheter.
18. The method according to claim 13 , wherein the connecting the pump and the at least one conduit is performed with a common catheter.