Jawad K, Sipahi F, Koziarz A, et al. - In view of the reported safety and effectiveness of left ventricular assist devices in managing patients with end-stage heart failure, researchers sought to determine if the implantation approach affects postoperative morbidities and mortality. Comparison was performed between left ventricular assist device implantation performed using conventional sternotomy vs less-invasive surgery including hemi-sternotomy and the minithoracotomy approach. Among 342 consecutive patients who underwent left ventricular assist device implantation at 2 high-volume centers, 241 patients underwent left ventricular assist device implantation with the conventional sternotomy technique and 101 patients underwent left ventricular assist device implantation with the less-invasive surgery technique. Two groups each including 73 patients were formed after propensity matching. Outcomes suggest that for left ventricular assist device implantation, the less-invasive surgery approach is a safe technique and is correlated with a significant decrease in the postoperative bleeding complications and duration of hospital stay, with no significant difference in mortality incidence.