Division of Cardiology, The Advanced Heart Failure and Transplantation Program of Virginia Commonwealth University, Richmond, Virginia 23298-0204, USA.
Clin Cardiol. 2011 Mar;34(3):147-52. doi: 10.1002/clc.20825. Epub 2011 Feb 9.
Engineering advancements have expanded the role for mechanical circulatory support devices in the patient with heart failure. More patients with mechanical circulatory support are being discharged from the implanting institution and will be seen by clinicians outside the immediate surgical or heart-failure team. This review provides a practical understanding of device design and physiology, general troubleshooting, and limitations and complications for implantable left ventricular assist devices (pulsatile-flow and continuous-flow pumps) and the total artificial heart.
工程学的进步拓展了机械循环支持设备在心力衰竭患者中的应用。越来越多接受机械循环支持的患者从植入机构出院,将由即时手术或心力衰竭团队以外的临床医生进行诊治。这篇综述提供了对设备设计和生理学、一般故障排除以及植入式左心室辅助设备(搏动流和连续流泵)和全人工心脏的局限性和并发症的实际理解。