Division of Cardiology, University of British Columbia, St Paul's Hospital, Vancouver, British Columbia, Canada.
J Heart Lung Transplant. 2010 Jan;29(1):96-7. doi: 10.1016/j.healun.2009.06.020. Epub 2009 Sep 26.
We describe the successful use of the Impella LP 5.0 intracardiac microaxial pump (Abiomed, Danvers, MA) in a 13-year-old boy with fulminant biopsy-proven viral myocarditis. The patient, who previously was in refractory cardiogenic shock despite increasing inotropic and vasopressor support, immediately stabilized after Impella LP 5.0 implantation and was successfully bridged to a full recovery. Months later, he remains completely well, with no intracardiac or peripheral vascular sequelae of the procedure. In carefully selected pediatric patients the Impella may be a beneficial form of temporary mechanical circulatory support for fulminant cardiogenic shock.
我们描述了在一名 13 岁男孩中成功使用 Impella LP 5.0 心内微型轴流泵（Abiomed，Danvers，MA）的情况。该患者先前在接受增强心肌收缩力和血管加压药物支持治疗的情况下仍处于难治性心源性休克，在植入 Impella LP 5.0 后立即稳定，并成功过渡到完全康复。几个月后，他完全康复，没有心内或外周血管并发症。在经过精心选择的儿科患者中，Impella 可能是治疗暴发性心源性休克的一种有益的临时机械循环支持形式。
