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最小的侵入性体外循环是一种ECMO的替代方案,用于腹腔动脉动脉移除

Ignazio Condello¹

¹Department of Cardiac Surgery, GVM Care & Research, Perfusion Service, Anthea Hospital, Via Camillo Rosalba 35/37, 70124 Bari, Italy.

The journal of extra-corporeal technology

|September 8, 2023

概括

最少侵入性的体外循环 (MiECC) 类型III在心室动脉冲动 (VT) 切除过程中提供血液动力稳定性. 这种技术支持心脏功能和氧化,在复杂的情况下证明是有益的.

科学领域:

心血管外科心血管外科
干预心脏病学干预心脏病学

背景情况:

机械循环支持在心室动脉冲动 (VT) 移除中的优势仍然未被证明.
建议采用一种使用静脉储存系统的III型微侵袭性体外循环 (MiECC) 的新技术.
该系统为长时间的手术提供完整的心脏流动支持,氧化和血液动力稳定性.

研究的目的:

评估在接受静脉管切除的患者中,MiECC III型的可行性和有效性.
评估系统在复杂的心脏手术过程中保持血液动力学稳定的能力.

主要方法:

一个回顾性病例系列,包括10名患有膜心脏病和耐火性静脉瘤的患者,他们在MiECC支持下进行了切除.
患者的平均年龄为72±8岁,射出分数为36±12%.
临床评估确定了静脉瘤的原因,例如缺血性心脏病.

主要成果:

使用MiECC系统的平均时间为140分钟.
中枢静脉压力 (CVP) 的管理是关键;最初的CVP为15mmHg,在排水后降至5mmHg.
维持了全身动脉压,并根据患者的大小进行了调整.

结论:

在VT切除过程中,MiECC类型III系统显示出作为理想支持的前景.
需要进一步的研究来验证这些初步发现.

关键词:

剥离剥离剥离剥离身体外膜氧化 (ECMO) 是一种最少侵入性的体外循环 (MiECC)腹腔动脉短心症是因为心室短心.

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