Rex Steffen
Klinik für Anästhesiologie am Universitätsklinikum der Rheinisch-Westfälischen Technischen Hochschule Aachen.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2011 Jun;46(6):424-31; quiz 432. doi: 10.1055/s-0031-1280747. Epub 2011 Jun 17.
Left ventricular assist devices (LVAD) have become an important option for the treatment of patients with advanced heart failure. Unfortunately, patients undergoing LVAD-implantation still experience considerable perioperative morbidity and mortality. Right ventricular failure, bleeding, infections and device-associated problems represent the major postoperative complications. The present overview summarizes current strategies for preoperative risk estimation and for the prevention and treatment of frequently occurring perioperative complications.
左心室辅助装置（LVAD）已成为治疗晚期心力衰竭患者的重要选择。不幸的是，接受LVAD植入的患者在围手术期仍会经历相当高的发病率和死亡率。右心室衰竭、出血、感染以及与装置相关的问题是主要的术后并发症。本综述总结了术前风险评估以及预防和治疗常见围手术期并发症的当前策略。
