开始儿科VAD计划:将挑战转化为机遇;一个单一中心的案例系列
Matija Bakoš1, Milivoj Novak2, Dalibor Šarić3
1Department of Pediatrics, University Hospital Centre Zagreb, 10000 Zagreb, Croatia. mbakos11@gmail.com.
The heart surgery forum
|September 7, 2023
概括
为儿科心力衰竭建立心室辅助器件 (VAD) 计划需要广泛的团队培训和组织调整. 早期的结果显示,一些患者的生存,突出显示了需要多学科专业知识.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心血管外科心血管外科
- 医疗器械技术 医疗器械技术
背景情况:
- 儿科和成人群体中心力衰竭的患病率增加.
- 最终阶段儿科心力衰竭的治疗选择有限,对药物治疗没有反应.
- 诸如心脏移植和心室辅助器件 (VAD) 等手术干预至关重要.
研究的目的:
- 介绍VAD植入的初始经验,在末期扩张性心肌病的儿科患者.
- 概述建立VAD程序所需的步骤,包括团队培训和组织调整.
主要方法:
- 对接受VAD植入体的前七名儿科患者的回顾性审查.
- 对VAD植入的首要指示是末期扩展性心肌病.
主要成果:
- 植入时的中位数年龄为4.5岁;中位数VAD支持持续时间为39天.
- 在三名患者中实现了长期存活.
- 死亡原因包括多器官衰竭,血栓栓塞事件,败血症和低心输出综合征. 两名患者因缺血性中风需要神经干预.
结论:
- 成功建立儿科VAD计划需要包括多个专业.
- 所有团队成员的全面培训和持续学习对于计划的成功至关重要.
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