越来越多地使用心室辅助器件来治疗心室故障
Darren Turner1, Amir Mehdizadeh-Shrifi1, Grant Chappell1
1The Heart Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH.
JHLT open
|July 2, 2025
概括
丰田循环护理的进步增加了成年人的生存率. 然而,心力衰竭仍然是一个挑战,心室辅助器件 (VAD) 对需要高级心脏支持的符合条件的患者显示出希望.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 成年人的先天性心脏病
背景情况:
- 由于医疗和外科手术的进步,Fontan人口正在增长.
- 患有Fontan循环的成年人有患心力衰竭的风险.
- 在Fontan患者心力衰竭的管理是复杂的,需要多学科的护理.
研究的目的:
- 为了回顾Fontan失败的生理学.
- 建立Fontan患者心室辅助器件 (VAD) 工作的标准.
- 讨论VAD结果,并介绍这个人群中单一机构的经验.
主要方法:
- 复习Fontan循环生理学和失败机制.
- 为VAD候选和工作制定标准.
- 对成年Fontan患者的VAD结局的分析.
- 一个单一机构在Fontan幸存者的VAD经验的回顾性审查.
主要成果:
- 心室辅助器件 (VAD) 越来越多地被用作在Fontan患者心脏性休克中移植的桥梁.
- VADs在改善特定Fontan患者的治疗结果方面显示出有希望的结果.
- 单一机构的数据表明,在这个复杂的人群中,VAD支持的可行性和结果.
结论:
- 心力衰竭是不断增长的Fontan人口中显著的长期并发症.
- 心室辅助器件 (VADs) 为Fontan患者的晚期心力衰竭和心脏性休克提供了一个可行的治疗选择.
- 仔细的患者选择和多学科管理对于在Fontan幸存者中成功实施VAD至关重要.
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