单心室辅助装置的脉动到连续流的转换技术
Yuriy Stukov1, Jeffrey P Jacobs1, Kayla V Lucas1
1Congenital Heart Center, Division of Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, FL, USA.
Multimedia manual of cardiothoracic surgery : MMCTS
|February 5, 2025
概括
对于需要腹腔辅助装置的先天性心脏病患者,从脉动式切换到连续流动式切换可以解决严重的血液溶解. 本案例报告详细介绍了这一关键干预的技术.
科学领域:
- 心血管外科心血管外科
- 医疗器械 医疗器械
- 儿童心脏病学 儿童心脏病学
背景情况:
- 具有复杂解剖学的先天性心脏病患者可能需要心室辅助器件 (VAD) 作为移植的桥梁.
- 像柏林心脏EXCOR这样的脉动性体外VAD用于复杂的病例,模仿自然的心脏功能.
- 柏林心脏EXCOR的脉动式排位设计带有增加血液溶解的风险.
研究的目的:
- 提交一个病例报告的严重血液溶解在一个病人支持的脉动VAD.
- 描述将脉动流量VAD转换为连续流量VAD的逐步技术.
- 突出连续流量VAD作为管理诱导血液溶解的潜在解决方案.
主要方法:
- 在柏林心脏EXCOR VAD上,一个患有严重血液溶解的患者的病例报告.
- 详细描述手术和技术程序,以从脉动到连续流动支的过渡.
- 在转化后监测血液溶解标志物和患者状态.
主要成果:
- 患者出现了严重的血解,归因于脉动式排位.
- 从脉动的柏林心脏EXCOR成功转换为连续流动的VAD进行了.
- 设备更换后严重血液溶解的解决.
结论:
- 切换到连续流室辅助装置可以是一个有效的策略,以管理严重的血液溶解在患者支持的脉动设备.
- 这个案例证明了VAD类型转换在复杂的儿科心脏支持中的可行性和益处.
- 仔细的患者选择和程序技术对于成功的VAD转换至关重要.
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