右心室辅助装置植入——一种新的经皮途径

Right ventricular assist device implantation--a new transcutaneous approach.

作者信息

Strauch J T, Franke U F W, Madershahian N, Wahlers Th

机构信息

Department of Cardiothoracic and Vascular Surgery, University Hospital Jena, Erlanger Allee 101, 07743 Jena, Germany.

出版信息

Thorac Cardiovasc Surg. 2004 Dec;52(6):378-9. doi: 10.1055/s-2004-821321.

DOI:10.1055/s-2004-821321

PMID:15573282

Abstract

The necessity for a secondary right heart assist device (RVAD) is a disastrous complication in left ventricular assist device (LVAD) support with respect to both complications and outcome. We have developed a new technique for inflow and outflow cannulation via a transcutaneous cannula in the femoral vein and a prosthesis-supported arterial cannula into the pulmonary artery, which does not necessitate rethoracotomy for device explantation. In addition to the simplified RVAD removal this transcutaneous approach may reduce the complications in patients requiring RVAD support.

摘要

对于左心室辅助装置（LVAD）支持而言，需要二级右心室辅助装置（RVAD）是一种灾难性并发症，无论在并发症还是预后方面都是如此。我们开发了一种新技术，通过股静脉中的经皮插管和置入肺动脉的带假体支撑的动脉插管进行流入和流出插管，该技术无需开胸取出装置。除了简化RVAD的移除，这种经皮方法还可能减少需要RVAD支持的患者的并发症。