在手术前,手术内和手术后的肺移植管理中使用ProtekDuo Cannula
William A Ricks1, Mindaugas Rackauskas1, William B Weir1
1Department of Surgery, Division of Thoracic Surgery, Gainesville, FL, USA.
Annals of cardiac anaesthesia
|October 4, 2024
概括
这项研究详细介绍了ProtekDuo®装置在双边肺移植过程中首次用于静脉肺 (VP) 转为静脉动脉 (VA) ECMO转换,成功支持右心室功能.
科学领域:
- 心血管外科心血管外科
- 肺部医学 肺部医学
- 医疗器械技术 医疗器械技术
背景情况:
- 肺高血压和急性呼吸衰竭可以导致严重的右心室 (RV) 功能障碍.
- 体外膜氧化 (ECMO) 是复杂的心脏和肺部病例的关键支持方式.
- 双边正管肺移植 (BOLT) 是一项苛刻的手术,通常需要先进的循环支持.
研究的目的:
- 描述 ProtekDuo® 装置在独特的 ECMO 配置中的新型应用,用于在 BOLT.期间的术后支持.
- 评估ProtekDuo®在治疗RV功能障碍和在整个移植过程中促进循环支持方面的有效性.
主要方法:
- 一名61岁的肺高血压和RV功能障碍患者接受了BOLT.
- 该ProtekDuo®被用于静脉肺 (VP) ECMO手术前用于VR保护.
- 在VP/AO配置的静脉动脉 (VA) ECMO中进行了手术内转换,使用相同的器件进行手术静脉排水.
- 术后管理涉及VR支持的持续VP ECMO.
主要成果:
- 该ProtekDuo®成功地促进了从VP ECMO到VP-/AO ECMO配置的过渡.
- 该设备在BOLT.的整个外科期间提供了有效的RV支持.
- 患者在5天后被解化,只有轻微的残留RV功能障碍.
结论:
- 在BOLT.期间,ProtekDuo®设备为复杂的ECMO配置提供了一个多功能平台.
- 这代表了ProtekDuo®在BOLT.的整个外科手术过程中的第一个被记录的使用 (dl) V-P到 (dl) VP-/AO到 (dl) V-P的连续配置.
- 这种方法证明了在肺移植受体中管理严重的RV功能障碍的有希望的潜力.
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