Conradi Lenard, Schirmer Johannes, Reiter Beate, Treede Hendrik, Kubik Mathias, Reichenspurner Hermann C, Wagner Florian M
Department of Cardiovascular Surgery, University Heart Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Int J Artif Organs. 2010 Nov;33(11):824-7.
Growing clinical experience and improved technology have led to more widespread use of ventricular assist devices in patients with end-stage heart failure.
We report the case of a patient with preexisting cardiomyopathy who arrived at our center in cardiogenic shock and received a biventricular assist device.
The new compact Abiomed Portable Circulatory Support Console facilitated mobilization of the patient which was particularly advantageous in the face of transient hemiparesis. After recovery from cardiogenic shock, device removal was performed following a bridge-to-recovery concept. He was discharged in a state of full cardiac recompensation and is back to everyday life with stable cardiac function up to 24 months after the incident.
This is the first report describing successful clinical use of the AB5000 assist device in combination with the portable console. Furthermore, it underlines the potential of temporary circulatory support to induce permanent myocardial recovery even in cases of preexisting cardiomyopathy.
临床经验的积累和技术的进步使得心室辅助装置在终末期心力衰竭患者中得到更广泛的应用。
我们报告了一例患有心肌病的患者，该患者在心源性休克状态下抵达我们中心，并接受了双心室辅助装置。
新型紧凑型Abiomed便携式循环支持控制台便于患者活动，这在患者出现短暂偏瘫的情况下尤为有利。在心源性休克恢复后，按照桥接至恢复的理念移除了装置。他在心脏完全代偿的状态下出院，事件发生后长达24个月心脏功能稳定，已回归日常生活。
这是第一份描述AB5000辅助装置与便携式控制台成功临床应用的报告。此外，它强调了即使在已有心肌病的情况下，临时循环支持诱导永久性心肌恢复的潜力。
