The EXCOR®is implanted using standardized surgical techniques and a cardiopulmonary bypass machine. The CPB machine takes over the circulation and oxygenation of the blood while the EXCOR® cannulae are connected to the heart and blood vessels. After the cannulae have been tunneled through the skin, the surgeon connects the cannulae to the EXCOR® blood pumps. The VAD team adjusts the pump rate and the pump pressures via the Ikus stationary driving unit. This ensures an optimal blood pump function. At the same time, the child is gradually weaned from the CPB machine and the EXCOR® VAD takes over the total pump output.
After implantation, the child is monitored in the intensive care unit. Experienced cardiologists care for the young patients and regularly conduct routine lab tests and ultrasound examinations. Depending on their initial condition, it may take a few weeks for the patient to recover. Doctors regularly check the transcutaneous exit sites of the cannulae, clean them, and place sterile wound dressings on them in order to support a fast healing process. The function of the ventricular assist device is continuously monitored. In order to prevent the formation of blood clots (deposits), the young patient takes anticoagulants (drugs that inhibit coagulation) from this point on.
If certain conditions are satisfied, adolescent patients can use the mobile driving system Excor. The Excor mobile allows patients to return to normal, everyday life more quickly. Before discharge, the VAD team explains to patients and their families such things as:
Note: The therapy descriptions presented here are only illustrative and may vary from patient to patient. If you have questions regarding your individual condition and therapy options, please talk to your treating physician.