左心室辅助器件交换:说明,手术程序和结果的综述
Giovanni Lucertini1, Michael Paul Rogers2, Enrico Giuseppe Italiano1
1Division of Cardiac Surgery, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padua, Italy.
Indian journal of thoracic and cardiovascular surgery
|August 1, 2023
概括
左心室辅助器件 (LVAD) 交换对于面临并发症的末期心力衰竭患者至关重要. 本综述涵盖了LVAD更换的指示,手术方面和结果,LVAD更换是一个具有历史高风险的程序.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 手术创新 在外科创新.
背景情况:
- 左心室辅助器件 (LVAD) 对末期心力衰竭至关重要.
- 技术进步正在增加LVAD的耐用性.
- 设备并发症需要在心脏移植不可行时更换LVAD.
研究的目的:
- 审查左心室辅助器件交换 (LVADE) 的指示.
- 讨论LVADE手术的决策和技术方面.
- 分析与LVADE相关的结果.
主要方法:
- 关于LVAD交换程序的文献审查.
- 对包括器械血栓,感染和故障在内的指示进行分析.
- 评估手术决策和技术方面的考虑.
主要成果:
- LVADE适用于器件血栓形成,感染和失效.
- 从历史上看,LVADE与显著的发病率和死亡率有关.
- 结果取决于仔细的手术规划和执行.
结论:
- 在LVAD患者的特定并发症中,LVAD更换是必要的干预措施.
- 了解指示和手术细微差别对于改善LVADE结果至关重要.
- 进一步的研究可能将重点放在减轻与LVADE相关的风险上.
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