在青少年中使用微轴流量
Lauren E Parker1, Douglas M Overbey1, Lillian Kang1
1Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC.
JTCVS techniques
|October 19, 2023
概括
对于患有严重心力衰竭的青少年来说,Impella 5.5心脏是有前途的,这使得大多数人能够进行移植. 需要进一步的研究来确定儿科患者的最佳使用.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 机械循环支持 机械循环支持
- 心胸外科手术 心胸外科手术
背景情况:
- 伊佩拉5.5心脏是为成人使用而设计的.
- 关于其在18岁以下患者的安全性和有效性的数据有限.
研究的目的:
- 评估Impella 5.5设备在儿科患者中的可行性和使用结果.
- 为在青少年中植入Impella 5.5建立一个框架.
主要方法:
- 六名儿科患者 (13-16岁) 的回顾性评估,这些患者接受了为Impella 5.5植入而进行的手动脉移植.
- 植入成功的分析,支持的持续时间,并发症,以及移植结果的桥梁.
主要成果:
- 在6名患者中有5名成功安置了Impella 5.5.
- 平均支持持续时间为13.5天,有4名患者成功过渡到心脏移植.
- 由于凝血病导致的设备故障的一个实例,需要临时的HeartMate3支持.
结论:
- 对于患有严重心力衰竭的青少年来说,Impella 5.5可能是一个可行的选择.
- 经验表明,成功的桥梁移植有可能成功,尽管尺寸和解剖学的考虑需要进一步定义.
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