在心脏性休克中使用临时皮肤穿右心室辅助装置的利用和结果
Kevin John John1, Jaime Hernandez-Montfort2, Manreet K Kanwar3
1From The Cardiovascular Center, Tufts Medical Center, Boston, Massachusetts.
概括
穿皮右心室辅助器件 (pRVADs) 支持心脏性休克 (CS) 的患者. 在CS患者中使用ProtekDuo与比Impella RP更多的出血和更长的住院时间有关,尽管死亡率相似.
科学领域:
- 心脏病学 心脏病学
- 机械循环支持 机械循环支持
- 关键护理医学 关键护理医学
背景情况:
- 急性右心室衰竭 (RVF) 是心脏性休克 (CS) 的常见并发症.
- 在CS中对RVF的最佳管理策略仍未完全定义.
- 穿皮右心室辅助器件 (pRVADs) 是一个潜在的治疗选择.
研究的目的:
- 描述使用PRVADs治疗心脏性休克患者的特征和结果.
- 为了在这个患者队列中比较ProtekDuo与Impella RP的使用和疗效.
- 确定与pRVAD使用和患者结果相关的因素.
主要方法:
- 一个多中心注册的回顾性分析 (心脏性休克工作组).
- 包括6201名CS患者,其中152人接受PRVADs.
- 患者人口统计,CS病因,设备类型 (ProtekDuo,Impella RP),并发症和住院死亡率的比较.
主要成果:
- 152名患者 (2.4%的CS队列) 接受了prvads; 71%使用ProtekDuo,29%使用Impella RP.
- 整体住院死亡率为54.6%.
- 与Impella RP接收者相比,ProtekDuo接收者患出血率更高 (64.8%与43.2%) 和住院时间更长 (41.9与20.4天). 伊姆佩拉RP与更短的住院时间有关.
结论:
- pRVADs在CS患者的一小部分患者中使用.
- 与Impella RP相比,在CS中使用ProtekDuo与增加的出血并发症和延长的住院治疗有关.
- 需要进行进一步的研究,以优化心脏性休克管理中的prvad选择和时间.
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