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The Intra-Aortic Balloon Pump
Published on: February 5, 2021
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胸前大动脉损伤 随着大动脉内气球的放置:一个回顾案例系列
Zachary Kiernan1, Kainuo Wu2, Abhishek Chaturvedi3
1Department of Surgery, Division of Cardiothoracic Surgery, Virginia Commonwealth University, Richmond, VA.
Critical care explorations
|August 28, 2023
概括
胸前大动脉损伤来自于大动脉内气球 (IABP) 是心脏移植候选人的罕见并发症. 内血管修复是一种可行的治疗方法,对移植结果没有直接的负面影响.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 移植医学 移植医学
背景情况:
- 由于大动脉内气球 (IABP) 的胸前大动脉损伤很少见.
- 没有先前的出版物在等待心脏移植的患者中解决IABP相关的大动脉损伤.
研究的目的:
- 在心脏移植候选人中描述患者特征,症状和胸前大动脉损伤的治疗方法.
- 评估这些损伤对移植适合性和结果的影响.
主要方法:
- 追溯,单一机构的案例系列.
- 在等待心脏移植时,在IABP安置后遭受胸前大动脉损伤的5名患者的图表综述.
- 对患者人口统计,损伤表现,治疗和移植结果的分析.
主要成果:
- 在等待心脏移植的107名患者中,有5名 (4.6%) 在IABP安置后出现胸前大动脉损伤.
- 三名患者接受了成功的移植和随后的胸内血管大动脉修复 (TEAR),在6个月的随访中取得了良好的结果.
- 一名患者急性死亡;另一个患者不需要干预.
结论:
- 在等待心脏移植的患者中,与IABP相关的大动脉损伤可能比以前认为的更频繁.
- 内血管治疗是这些损伤的合适治疗方法,对移植成功没有明显的直接不良影响.
- 多中心数据收集是必要的,以确定风险概况,并开发用于早期伤害检测的算法.
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