儿科心室辅助器件的现状和未来方向
Xu Huang1,2,3, Yi Shen1,2,3, Yiwei Liu4,5,6
1Heart Center and Shanghai Institute of Pediatric Congenital Heart Disease, Shanghai Children's Medical Center, National Children's Medical Center, Shanghai Jiaotong University School of Medicine, No. 1678, Dongfang Rd, Pudong District, Shanghai, 200127, China.
Heart failure reviews
|March 26, 2024
概括
室腔辅助器械 (VADs) 治疗成人心力衰竭,但在儿童中使用不足. 本综述涵盖了儿科VAD,其并发症,以及未来的设计改进,以便更广泛地使用.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 儿科医学 儿科医学
背景情况:
- 机械循环支持,特别是心室辅助器件 (VADs),对于成年人的末期心力衰竭至关重要.
- 由于设备的适用性和患者的复杂性,VADs的儿科应用仍然有限.
- 本综述侧重于儿科人口中VADs的当前状态和未来.
研究的目的:
- 审查目前可用的小儿心室辅助器件.
- 讨论与儿科VAD植入相关的不良事件.
- 探索儿科VAD设计和实施的未来方向.
主要方法:
- 临床上可用的儿科VADs的文献综述.
- 对儿科VAD接受者报告的不良事件的分析.
- 探索儿童机械循环支持的新兴趋势和未来研究.
主要成果:
- 有限数量的VAD是专门为儿科患者设计或批准的.
- 儿科VAD的不良事件包括与设备相关的并发症和系统性问题.
- 需要在设备设计,患者选择和管理协议方面取得重大进展.
结论:
- 儿科VAD治疗是一个不断增长的领域,有着未满足的需求.
- 为儿科生理学优化VAD和改进管理策略至关重要.
- 未来的创新旨在扩大VAD可访问性,并改善心力衰竭儿童的治疗结果.
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