相关实验视频

Updated: May 10, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

心肺绕道是同时进行高风险皮肤冠状动脉干预和透气管大动脉置换的安全有效支持

Axel Gomez¹, Madison E Matthews¹, Aaron Grober²

¹Division of Adult Cardiac Surgery and Lung Transplantation, Department of Surgery, University of California San Francisco and San Francisco VA Healthcare System, San Francisco, California.

The Journal of invasive cardiology

|February 26, 2026

概括

机械循环支持,包括心肺绕道 (CPB) 或静脉外体膜氧化 (VA-ECMO),可在高危患者中安全地进行综合透气管大动脉置换 (TAVR) 和穿皮冠状动脉干预 (PCI).

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
心血管外科心血管外科

背景情况:

患有严重的大动脉狭窄 (AS) 和严重冠状动脉疾病 (CAD) 的患者存在重大程序性挑战.
接受皮肤透射治疗的高风险患者需要谨慎的血液动力学管理.
在联合TAVR和PCI期间,机械循环支持 (MCS) 的作用尚不清楚.

研究的目的:

在同时进行TAVR和PCI时,评估使用CPB或VA-ECMO计划的MCS的安全性和可行性.
评估接受这些联合手术的高风险患者的结果.

主要方法:

在2015年至2023年期间,对6名高风险患者进行TAVR和PCI并计划MCS (CPB或VA-ECMO) 的回顾性审查.
结果使用VARC-3标准进行评估.

主要成果:

在所有6名患者中,成功的TAVR和PCI与计划的MCS.
在手术后,平均脑脊横梯度显著降低 (37.2至3.9毫米升).
没有手术过程中的并发症,重大不良事件或30天死亡率;膜漏水和急性损伤率低.

结论:

计划CPB或VA-ECMO支持对于接受同时TAVR和PCI的选择高风险患者来说是一种安全和可行的方法.
这种策略可以有效地应用于复杂的非手术病例.

关键词:

进行心脏支架.通过心肺绕道术 (cardiopulmonary bypass) 进行心肺绕道术.机械循环支持机械循环支持通过皮肤进行冠状动脉干预.通过导管更换大动脉门.

更多相关视频

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Published on: June 8, 2022

相关概念视频

Cardiomyopathy V: Interprofessional Care

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...