Department of Cardiothoracic Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, Greece.
Artif Organs. 2010 Dec;34(12):1156-8. doi: 10.1111/j.1525-1594.2009.00983.x.
We propose, as an addition to the off-pump technique for implantation of an axial flow left ventricular assist device, the use of a minimal extracorporeal circuit for circulatory support, in the setting of hemodynamic instability during implantation. Thus, the use of conventional cardiopulmonary bypass could be avoided. This set-up provides simplicity and effectiveness and enhanced safety of the off-pump implantation while it may offer adequate circulatory support if required.
我们建议，在植入轴流左心室辅助装置的非体外循环技术中，在植入过程中出现血液动力学不稳定的情况下，使用最小的体外循环回路进行循环支持。因此，可以避免使用传统的体外循环。这种设置提供了简单性和有效性，并增强了非体外循环植入的安全性，同时如果需要，它也可以提供足够的循环支持。
