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相关概念视频

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Updated: Feb 13, 2026

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在没有抗凝固的 HeartWareTM HVAD 支持.

Mats Steffi Jennifer Masilamani1, Emily Greengard2,3, Jonathan Nicholas Johnson1

  • 1Division of Pediatric Cardiology/Department of Pediatrics and Adolescent Medicine, Mayo Clinic Children's, 200, 1 st St SW, Rochester, MN 55905 USA.

Indian journal of thoracic and cardiovascular surgery
|February 12, 2026
PubMed
概括
此摘要是机器生成的。

这项案例研究显示,一个患有HeartWareTM左心室辅助装置 (HVAD) 的儿科患者在没有抗凝药的情况下成功管理了110天. 仔细的监测使得持续的支持成为可能,突出显示了VADs的不断发展的抗血栓策略.

关键词:
人类循环素诱导的心肌病变.成为候选人的桥梁.孩子孩子孩子孩子孩子孩子这就是 HeartWareTM HVAD 的核心.腹腔室辅助装置 (VAD) 是一种心室辅助装置.

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科学领域:

  • 儿童心脏病学 儿童心脏病学
  • 心血管外科心血管外科
  • 在瘤学瘤学.

背景情况:

  • 对于儿科心脏移植 (HTx) 候选人来说,心室辅助器件 (VAD) 是至关重要的,可以降低死亡率.
  • 人类循环素诱导的心肌病 (AC) 在儿童癌症患者中可能导致急性静心性心力衰竭.

研究的目的:

  • 报告一个独特的儿科病人的病例,使用HeartWareTM左心室辅助装置 (HVAD) 没有抗凝药进行管理.
  • 突出在复杂情况下提供持久的HVAD支持的可行性,并进行仔细的监测.
  • 讨论在VAD患者中不断发展的抗血栓策略.

主要方法:

  • 一个案例报告,一个8岁的女孩患有骨髓瘤和AC需要HVAD植入.
  • 治疗包括停止抗凝血和抗血小板药物治疗,原因是耐火性表和血小板狭窄.
  • 长期随访包括监测并发症和最终的心脏移植.

主要成果:

  • 患者在21个月内接受了持久的HVAD支持,没有抗凝或抗血小板治疗.
  • 她从骨髓瘤中实现了缓解,并成功接受了心脏移植手术.
  • 在抗血栓避开期内没有观察到主要的血栓并发症.

结论:

  • 在选择的儿科患者中,在没有标准抗血栓治疗的情况下,可以在仔细监测下实现持久的HVAD支持.
  • 多学科护理和患者教育对于优化VAD患者的治疗结果至关重要.
  • 在将特定VAD试验 (如ARIES-HM3) 的结果推断到不同的设备时,建议谨慎.