使用新的双补丁技术进行左心室辅助装置的探索†
Oliver Daniel Bhadra1, Jonas Pausch1, Hug Aubin2
1University Heart & Vascular Center Hamburg, Department for Cardiovascular Surgery, Hamburg, Germany.
Interdisciplinary cardiovascular and thoracic surgery
|July 24, 2023
概括
左心室辅助装置 (LVAD) 的探索是可行的,并使用新的双补丁技术安全. 这种方法确保了100%的生存率和没有并发症,允许停止抗凝药治疗.
科学领域:
- 心脏病学 心脏病学
- 心血管外科心血管外科
- 医疗器械 医疗器械
背景情况:
- 在心脏恢复后,用于左心室辅助器件 (LVAD) 探索的手术选择各不相同.
- 剩余的LVAD成分存在感染和血栓形成的风险.
- 介绍了一种用于LVAD扩张的新双贴技术.
研究的目的:
- 报告一项用于LVAD扩张的新型双贴片技术.
- 为了评估这项技术的安全性和可行性在两个中心的经验中.
- 评估包括生存和并发症在内的结果.
主要方法:
- 在2019年3月至2021年4月期间,五名患者接受了LVAD扩张 (HVAD:2;HeartMate:3:3).
- 这项手术涉及中间椎切除,心肺旁路,以及顶部的双补丁关闭 (心周和高尔-德克斯).
- 患者平均年龄为50.3岁;使用LVAD的平均时间为23.1个月.
主要成果:
- 所有五个LVAD解释都在技术上没有任何复杂性.
- 在平均随访时间为16.4个月期间,观察到100%的存活率.
- 没有出现出血并发症或血栓塞栓事件.
结论:
- 使用双补丁技术的LVAD扩张是可行的和安全的.
- 这种技术允许停止抗凝血治疗.
- 实现了100%的30天存活率,这证明了进一步的长期随访研究的必要性.
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