Catena Emanuele, Milazzo Filippo, Merli Mario, Paino Roberto, Garatti Andrea, Colombo Tiziano, Vitali Ettore
Division of Cardiothoracic Anesthesia and Intensive Care, Centro A. De Gasperis, Ospedale Niguarda Cà Granda, P.zza Ospedale Maggiore 3, 20162 Milan, Italy.
Eur J Echocardiogr. 2004 Dec;5(6):430-7. doi: 10.1016/j.euje.2004.03.008.
The aim of this study was to suggest a protocol for serial echocardiographic evaluations in patients undergoing circulatory support by a new miniaturized electric axial pump, the Impella recover 100 (IR 100). IR 100 is implanted through the ascending aorta into the left ventricle drawing blood from the left ventricle to the aorta.
This protocol has been applied in eight patients receiving twelve IR 100 implants. Before implantation echocardiography was useful to rule out anatomic contraindications. During and after implantation echocardiography provided informations for correct positioning and evaluation of left ventricular filling necessary to optimize pump performance. During assistance it gave important informations to assess left and right ventricular function.
Echocardiography has pivotal role in IR 100 management before, during and after implantation.
本研究的目的是为使用新型小型电动轴流泵Impella recover 100(IR 100)进行循环支持的患者提出一套连续超声心动图评估方案。IR 100通过升主动脉植入左心室,将血液从左心室抽吸至主动脉。
该方案已应用于8例接受12次IR 100植入的患者。植入前超声心动图有助于排除解剖学禁忌证。植入期间及植入后,超声心动图为优化泵性能所需的左心室充盈的正确定位和评估提供信息。在辅助期间,它为评估左右心室功能提供重要信息。
超声心动图在IR 100植入前、植入期间及植入后管理中起关键作用。