在体外膜肺氧合期间经皮插入左心室“排气口”以进行左心减压。
Percutaneous left ventricular "vent" insertion for left heart decompression during extracorporeal membrane oxygenation.
作者信息
Cheung Michael M H, Goldman Allan P, Shekerdemian Lara S, Brown Kate L, Cohen Gordon A, Redington Andrew N
机构信息
Cardiothoracic Unit, Great Ormond Street Hospital, London, UK.
出版信息
Pediatr Crit Care Med. 2003 Oct;4(4):447-9. doi: 10.1097/01.PCC.0000075325.53339.CA.
OBJECTIVE
Description of a novel method of left ventricular decompression by a percutaneous technique under transthoracic echocardiographic guidance.
DESIGN
Case report.
SETTING
Supraregional cardiac referral center.
PATIENT
PATIENT with end-stage cardiomyopathy.
INTERVENTIONS
Percutaneous insertion of a modified Mullins transseptal sheath under transthoracic echocardiographic guidance.
MEASUREMENTS AND MAIN RESULTS
Successful decompression of the left ventricle and subsequent orthotopic heart transplantation.
CONCLUSIONS
In patients at high risk of bleeding, a percutaneous technique may be useful for left ventricular decompression.
目的
描述一种在经胸超声心动图引导下通过经皮技术进行左心室减压的新方法。
设计
病例报告。
地点
区域以上心脏转诊中心。
患者
终末期心肌病患者。
干预措施
在经胸超声心动图引导下经皮插入改良的穆林斯经间隔鞘管。
测量和主要结果
成功实现左心室减压并随后进行原位心脏移植。
结论
对于有高出血风险的患者，经皮技术可能对左心室减压有用。
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