长期存活在双管架辅助设备的支持下,尽管有持续的抗血压
Ibrahim Oguz Karaca1, Berhan Keskin1, Aykun Hakgor1
1From the Department of Cardiology, Istanbul Medipol University, Medipol Mega University Hospital, Istanbul, Türkiye.
概括
这项研究详细介绍了一名45岁的男性,他使用双心室辅助装置 (BiVAD) 无心脏活动生活了43个月. 该BiVAD成功地维持了血液循环,显示出在 asystole 中的长期支持.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 身体生理学 身体生理学
背景情况:
- 机械循环支持对于末期心力衰竭至关重要.
- 持续性心脏静止失速对血液动力学管理提出了独特的挑战.
研究的目的:
- 报告一个独特的长期存活的案例与双心室辅助器件 (BiVAD) 支持在心脏电力和机械活动完全缺失的患者.
- 为了证明BiVADs在缺乏内在心脏功能的情况下保持充分的全身和肺循环的能力.
主要方法:
- 一个45岁的男性患者的病例报告.
- 使用双心室辅助装置 (BiVAD) 进行循环支持.
- 通过心声学监测血液动力学,氧化,器件流动和心脏活动.
主要成果:
- 患者在43个月的时间里没有症状,尽管有持续性心血管梗塞.
- 在整个支持期内,稳定的血液动力学,氧化和设备流量得到维持.
- 心声扫描证实,本质心脏收缩性不存在,心房门持续开放.
结论:
- 双直肠辅助器件 (BiVAD) 的支持可以在缺乏本源心脏活动的情况下维持足够的血液循环.
- 这种病例代表了在持续性脑梗塞和机械循环支持下报告的最长存活时间.
- 在某些患有严重心脏功能障碍的患者中,BiVADs为长期管理提供了可行的选择.
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