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Impella LP 5.0作为长期循环支持的桥梁。

The Impella LP 5.0 as a bridge to long-term circulatory support.

作者信息

Samoukovic Gordan, Rosu Cristian, Giannetti Nadia, Cecere Renzo

机构信息

Division of Cardiothoracic Surgery, McGill University Health Center, Montreal, Quebec, Canada.

出版信息

Interact Cardiovasc Thorac Surg. 2009 Jun;8(6):682-3. doi: 10.1510/icvts.2008.199208. Epub 2009 Mar 2.

DOI:10.1510/icvts.2008.199208
PMID:19254945
Abstract

Multi-organ failure (MOF) secondary to bi-ventricular cardiac dysfunction is a major therapeutic challenge. In addition to aggressive medical therapy, it frequently requires circulatory support with uni- or bi-ventricular assist devices. The Impella LP 5.0 is a new microaxial left ventricular assist device (LVAD). Microaxial LVADs have been used for short-term circulatory support in patients with cardiogenic shock due to myocarditis, post coronary artery bypass grafting (CABG), or during high-risk percutaneous coronary interventions (PCI). We present a case of a patient in bi-ventricular failure successfully bridged to permanent circulatory support. Relative merits of this therapeutic approach are outlined and discussed.

摘要

双心室心功能不全继发的多器官功能衰竭是一项重大治疗挑战。除积极的药物治疗外，其常常需要使用单心室或双心室辅助装置进行循环支持。Impella LP 5.0是一种新型微轴左心室辅助装置（LVAD）。微轴LVAD已用于因心肌炎、冠状动脉旁路移植术（CABG）后或高危经皮冠状动脉介入治疗（PCI）导致的心源性休克患者的短期循环支持。我们报告一例双心室衰竭患者成功过渡到永久性循环支持的病例。概述并讨论了这种治疗方法的相对优点。

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