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在LVAD植入过程中管理膜病理
Michael J Carr1, Susan Ansley Smith1, Mark S Slaughter1
1Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, KY USA.
Indian journal of thoracic and cardiovascular surgery
|August 1, 2023
概括
左心室辅助装置 (LVAD) 改善了晚期心力衰竭的结果. 在LVAD患者中解决门疾病仍然是复杂的,需要仔细考虑手术以获得最佳结果.
科学领域:
- 心血管外科心血管外科
- 医疗器械技术 医疗器械技术
- 心脏衰竭管理的管理
背景情况:
- 可植入的连续流动左心室辅助器件 (LVADs) 显著提高了晚期心力衰竭患者的生活质量和生存率.
- 门病理 (大动脉,额叶,三) 在LVAD植入策略中提出了复杂的挑战.
- 同时进行门修复/更换可能会增加手术风险和术后并发症.
研究的目的:
- 审查在接受LVAD植入的患者中管理膜病理的不断变化的方法.
- 提供专家意见和治疗策略的理由关于LVAD接受者的门问题.
主要方法:
- 关于LVAD患者膜病理学的历史和当前管理的文献综述.
- 对外科手术技术,设备进步和医疗管理策略的分析.
- 基于不断变化的证据的临床意见和治疗理由.
主要成果:
- LVADs已经取得了重大进展,改善了患者的治疗结果.
- 在LVAD患者中,门病理的管理仍然是一个复杂的问题,没有明确的解决方案.
- 在LVAD植入后,由于生理变化,膜状况可能会恶化或发展.
结论:
- 仔细考虑膜状况对于LVAD候选人的手术规划至关重要.
- 手术技术和医疗管理的持续进步对于解决膜病理至关重要.
- 在LVAD患者中优化膜疾病的治疗需要一个细微的,个性化的方法.
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