Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA.
Semin Thorac Cardiovasc Surg. 2010 Summer;22(2):106-8. doi: 10.1053/j.semtcvs.2010.09.002.
With the widespread use of continuous-flow ventricular assist devices (VADs), the role of pulsatile VADs remain in question. In acute cardiogenic shock, pulsatile VADs maximize perfusion pressure, restore end organ perfusion, and maximally unload the pulmonary circulation and right heart. In addition, pulsatile left VADs allow for easy conversion to biventricular support using one platform, in the case of acute right ventricular failure. Pulsatile VADs still have a major role in the treatment of acute cardiogenic shock.
随着连续血流心室辅助装置（VAD）的广泛应用，搏动性 VAD 的作用仍存在疑问。在急性心源性休克中，搏动性 VAD 可最大限度地提高灌注压，恢复终末器官灌注，并最大限度地减轻肺循环和右心的负担。此外，在急性右心衰竭的情况下，搏动性左 VAD 可通过同一平台轻松转换为双心室支持。搏动性 VAD 在急性心源性休克的治疗中仍具有重要作用。
