Jawad K, Sipahi F, Koziarz A, et al. - For end-stage heart failure patients, left ventricular assist device (LVAD) has been identified as a safe and effective treatment option. Researchers performed a comparison of LVAD implantation using conventional sternotomy (CS) vs less invasive surgery (LIS) including hemi-sternotomy and mini-thoracotomy approach. Of 342 assessed patients who underwent LVAD implantation at two high volume centers, 241 patients underwent LVAD implantation with the CS technique and 101 patients underwent LVAD implantation with the LIS technique. Two groups each including 73 patients were produced following propensity matching. Based on the outcomes, the LIS approach is supported to be a safe technique for LVAD implantation. In addition, the postoperative bleeding complications and duration of hospital stay were significantly reduced in correlation with undertaking LIS approach, with no significant difference in mortality incidence.