使用膨体聚四氟乙烯囊袋将诺瓦科尔心室辅助系统置于腹腔内。
Intraabdominal placement of a Novacor ventricular assist system by using an expanded polytetrafluoroethylene pouch.
作者信息
Matsumiya Goro, Miyamoto Yuji, Fukushima Norihide, Monta Osamu, Sawa Yoshiki, Matsuda Hikaru
机构信息
Department of Surgery, Division of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
出版信息
Ann Thorac Surg. 2004 May;77(5):1851-3. doi: 10.1016/j.athoracsur.2003.07.016.
The location of the pump pocket for the left ventricular assist system is of great importance because of its direct relation to subsequent complications. The Novacor device has usually been implanted at the space behind the rectus muscle, which leads to occasional bleeding from raw muscle surfaces and to subsequent pocket infection. Although intraabdominal placement causes less bleeding and is more refractory to later pocket infection, direct contact with the visceral organs sometimes causes serious complications. We constructed a pouch from an expanded polytetrafluoroethylene sheet, and this enabled intraabdominal placement of the Novacor device.
左心室辅助系统的泵袋位置非常重要，因为它与随后的并发症直接相关。诺瓦科尔装置通常植入腹直肌后方的间隙，这会导致肌肉创面偶尔出血并引发随后的泵袋感染。尽管腹腔内植入出血较少且对后期泵袋感染更具抵抗力，但与内脏器官直接接触有时会导致严重并发症。我们用膨体聚四氟乙烯片构建了一个袋囊，这使得诺瓦科尔装置能够植入腹腔。
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