相关实验视频

Updated: Jun 5, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

与设备相关的不良事件和皮肤穿室辅助器件的流量容量

Yuki Ikeda¹, Shunsuke Ishii¹, Shohei Nakahara¹

¹Department of Cardiovascular Medicine, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-Ku, Sagamihara, Kanagawa 252-0374, Japan.

European heart journal. Acute cardiovascular care

|November 19, 2024

概括

高流量穿皮室辅助器件 (PVAD) 与血液溶解和脏损伤等并发症的减少有关. 这些设备还与心脏性休克患者死亡风险较低相关.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
机械循环支持机械循环支持

背景情况:

机械循环支持对于管理心脏性休克至关重要.
皮肤穿透腹腔辅助装置 (PVAD) 越来越多地使用,但对设备类型特定并发症的数据有限.

研究的目的:

在患有心脏性休克的患者中,比较低流量和高流量PVAD之间的设备相关并发症和死亡风险.
分析来自日本PVAD注册表 (J-PVAD) 的数据.

主要方法:

来自J-PVAD注册表的5717名患者的分析 (2020年2月 - 2022年12月).
30天内与设备相关问题 (血液溶解,出血,损伤,败血症,停止) 和所有原因死亡率的事件风险的比较.
基于一线PVAD流量能力的分层:低流量 (Impella 2.5/CP) 和高流量 (Impella 5.0/5.5).

主要成果:

与低流量PVAD相比,高流量PVAD与血解 (HR 0.38),损伤 (HR 0.32) 和停止 (HR 0.38) 的风险明显降低.
两组之间严重出血或败血症的风险没有显著差异.
在高流量PVAD组 (HR 0.79) 中,全因死亡风险较低.

结论:

高流量PVAD与特定设备相关并发症的发生率降低有关,包括血液溶解,脏损伤和停止.
与低流量PVAD患者相比,接受高流量PVAD的患者表现出较低的全因死亡风险.

关键词:

复杂化复杂化复杂化复杂化这就是Impella Impella.预后预后预测预测倾向性得分匹配的匹配方法冲击和冲击是一个很好的选择.

更多相关视频

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

相关概念视频

Cardiac Catheterization II: Right Heart Catheterization

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...

Cardiomyopathy V: Interprofessional Care

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...