Hendry Paul
Division of Cardiac Surgery, Ottawa Heart Institute, Ottawa, Ontario.
Can J Cardiol. 2004 Mar 15;20(4):443-6.
With the increasing incidence of congestive heart failure and limited numbers of donor hearts for transplantation, mechanical circulatory support devices are being used with greater frequency in Canada. The indications for device use, types of available pumps and centres performing these procedures are presented. A review of the results of use of these devices in Canada indicates that they may be a reasonable alternative for patients who might otherwise die without intervention. The cost implications of more widespread use of these pumps are not insignificant and must be compared with other life-saving technologies.
随着充血性心力衰竭发病率的上升以及用于移植的供体心脏数量有限，加拿大对机械循环支持设备的使用频率越来越高。本文介绍了设备使用的适应症、可用泵的类型以及进行这些手术的中心。对这些设备在加拿大使用结果的回顾表明，对于那些不进行干预可能会死亡的患者来说，它们可能是一种合理的替代方案。更广泛地使用这些泵所带来的成本影响不容忽视，必须与其他挽救生命的技术进行比较。
