Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
ASAIO J. 2013 Sep-Oct;59(5):523-5. doi: 10.1097/MAT.0b013e31829be043.
Left ventricular assist device (LVAD) implantation is associated with the risk of early postoperative right heart dysfunction, which may require urgent institution of mechanical right ventricular support. This is conventionally achieved by cannulation of the femoral vein or right atrial appendage for the inflow and the pulmonary artery for the outflow. However, this requires resternotomy with increased risk of wound and device infection, as well as excessive bleeding. We describe the use of peripheral venoarterial extracorporeal membrane oxygenation as a short-term treatment of right heart failure after HeartWare LVAD implantation.
左心室辅助装置（LVAD）植入与术后早期右心功能障碍的风险相关，这可能需要紧急建立机械性右心支持。这通常通过股静脉或右心耳插管实现血流流入，通过肺动脉插管实现血流流出。然而，这需要再次开胸，增加了伤口和器械感染以及过度出血的风险。我们描述了使用外周动静脉体外膜肺氧合（VA-ECMO）作为 HeartWare LVAD 植入术后右心衰竭的短期治疗方法。
