Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York 10029, USA.
Ann Thorac Surg. 2010 Jun;89(6):2053-5. doi: 10.1016/j.athoracsur.2009.06.119.
We describe preemptive placement of a TandemHeart percutaneous left ventricular assist device (CardiacAssist Inc, Pittsburgh, PA) through the axillary artery and vein for temporary postoperative support in a patient with severe left ventricular dysfunction undergoing high-risk cardiac reoperation. We believe this approach is preferable to high-dose catecholamines because of preserved early tissue perfusion without excessive vasoconstriction. Axillo-axillary placement is advantageous because patients can sit up and partially mobilize, and there is no need to reopen the chest for explantation.
我们描述了通过腋动脉和静脉预先放置 TandemHeart 经皮左心室辅助装置（CardiacAssist Inc，匹兹堡，宾夕法尼亚州），以便在接受高危心脏再次手术的严重左心室功能障碍患者中进行临时术后支持。我们相信，这种方法优于高剂量儿茶酚胺，因为它可以在没有过度血管收缩的情况下保持早期组织灌注。腋-腋放置是有利的，因为患者可以坐起来并进行部分活动，而且不需要再次开胸进行取出。
