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Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
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在左心室辅助装置植入后的结果和并发症
Grzegorz Wasilewski1, Sylwia Wiśniowska-Śmiałek1, Izabela Górkiewicz-Kot1
1Department of Cardiovascular Surgery and Transplantology, Jagiellonian University, Medical College, St. John Paul II Hospital, Cracow, Poland.
Transplantation proceedings
|May 11, 2024
概括
左心室辅助器 (LVAD) 目的地治疗是末期心力衰竭患者的可行选择. 关键并发症包括贫血和功能衰竭,强调需要仔细选择和管理患者.
科学领域:
- 心脏病学 心脏病学
- 医疗工程 医学工程
- 移植科学 移植科学
背景情况:
- 心脏移植受到供体器官稀缺性的限制.
- 机械循环支持越来越多地被用作终期心力衰竭的目的地治疗 (DT).
- 左心室辅助器件 (LVAD) 为无法接受移植的患者提供了一个关键的替代方案.
研究的目的:
- 分析LVAD接受者的指示,并发症和并发症.
- 评估在LVAD植入后至少12个月的随访患者的结果.
- 评估LVADs作为高体积波兰中心的目的地治疗的作用.
主要方法:
- 在2015年至2023年期间,对125名接受LVAD植入的患者进行了回顾性分析.
- 纳入标准:至少12个月的随访时间.
- 收集了有关人口统计,心力衰竭病因,并发症和术后并发症的数据.
主要成果:
- 90名患者完成了12个月的随访;中位数年龄为58岁;94%是男性.
- 常见的病因:缺血性心肌病和扩张性心肌病 (49%).
- 常见的并发病:肺高血压 (68%),糖尿病 (38%),功能衰竭 (44%).
- 高发病率的LVAD后贫血 (91%) 和过渡性功能恶化 (48%).
结论:
- 精心选择患者和最佳时机对于成功的LVAD目的地治疗至关重要.
- 贫血和功能衰竭是植入后的重大挑战.
- LVADs代表了终端阶段心力衰竭的成熟和有效治疗方法,提供了更好的结果和耐用性.
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