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植入式机械循环支持：揭开心室辅助装置和人工心脏患者的神秘面纱。

Implantable mechanical circulatory support: demystifying patients with ventricular assist devices and artificial hearts.

机构信息

Division of Cardiology, The Advanced Heart Failure and Transplantation Program of Virginia Commonwealth University, Richmond, Virginia 23298-0204, USA.

出版信息

Clin Cardiol. 2011 Mar;34(3):147-52. doi: 10.1002/clc.20825. Epub 2011 Feb 9.

DOI:10.1002/clc.20825
PMID:21308692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6652496/
Abstract

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.

摘要

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。

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Implantable mechanical circulatory support: demystifying patients with ventricular assist devices and artificial hearts.植入式机械循环支持：揭开心室辅助装置和人工心脏患者的神秘面纱。
Clin Cardiol. 2011 Mar;34(3):147-52. doi: 10.1002/clc.20825. Epub 2011 Feb 9.
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本文引用的文献

1
Clinical management of continuous-flow left ventricular assist devices in advanced heart failure.心力衰竭晚期连续血流左心室辅助装置的临床管理。
J Heart Lung Transplant. 2010 Apr;29(4 Suppl):S1-39. doi: 10.1016/j.healun.2010.01.011. Epub 2010 Feb 24.
2
Advanced heart failure treated with continuous-flow left ventricular assist device.采用连续血流左心室辅助装置治疗晚期心力衰竭。
N Engl J Med. 2009 Dec 3;361(23):2241-51. doi: 10.1056/NEJMoa0909938. Epub 2009 Nov 17.
3
Noninvasive assessment of left ventricular assist devices with cardiovascular computed tomography and impact on management.心血管计算机断层扫描对左心室辅助装置的无创评估及其对治疗的影响。
J Heart Lung Transplant. 2010 Jan;29(1):79-85. doi: 10.1016/j.healun.2009.06.023. Epub 2009 Sep 26.
4
Registry of the International Society for Heart and Lung Transplantation: Twenty-sixth Official Adult Heart Transplant Report-2009.国际心肺移植学会登记处：2009年第26份成人心脏移植官方报告
J Heart Lung Transplant. 2009 Oct;28(10):1007-22. doi: 10.1016/j.healun.2009.08.014.
5
Low thromboembolism and pump thrombosis with the HeartMate II left ventricular assist device: analysis of outpatient anti-coagulation.HeartMate II 左心室辅助装置的低血栓栓塞和泵血栓形成：门诊抗凝治疗分析。
J Heart Lung Transplant. 2009 Sep;28(9):881-7. doi: 10.1016/j.healun.2009.05.018.
6
Extended mechanical circulatory support with a continuous-flow rotary left ventricular assist device.使用连续流旋转式左心室辅助装置的延长机械循环支持
J Am Coll Cardiol. 2009 Jul 21;54(4):312-21. doi: 10.1016/j.jacc.2009.03.055.
7
Incidence of ventricular arrhythmias in patients on long-term support with a continuous-flow assist device (HeartMate II).长期使用连续血流辅助装置（HeartMate II）的患者室性心律失常的发生率。
J Heart Lung Transplant. 2009 Jul;28(7):733-5. doi: 10.1016/j.healun.2009.03.011.
8
Severely impaired von Willebrand factor-dependent platelet aggregation in patients with a continuous-flow left ventricular assist device (HeartMate II).使用连续流左心室辅助装置（HeartMate II）的患者中，血管性血友病因子依赖性血小板聚集严重受损。
J Am Coll Cardiol. 2009 Jun 9;53(23):2162-7. doi: 10.1016/j.jacc.2009.02.048.
9
Acquired von Willebrand syndrome after exchange of the HeartMate XVE to the HeartMate II ventricular assist device.在将HeartMate XVE心室辅助装置更换为HeartMate II心室辅助装置后获得性血管性血友病综合征。
Eur J Cardiothorac Surg. 2009 Jun;35(6):1091-3. doi: 10.1016/j.ejcts.2009.01.042. Epub 2009 Mar 20.
10
Gastrointestinal bleeding rates in recipients of nonpulsatile and pulsatile left ventricular assist devices.非搏动性和搏动性左心室辅助装置接受者的胃肠道出血率
J Thorac Cardiovasc Surg. 2009 Jan;137(1):208-15. doi: 10.1016/j.jtcvs.2008.07.032. Epub 2008 Oct 10.