ACC/AHA 分期 D 患者的管理：机械循环支持。

Management of the ACC/AHA Stage D patient: mechanical circulatory support.

机构信息

Heart Failure and Transplant Research, Newark Beth Israel Medical Center, 201 Lyons Avenue, L-4, Transplant Center, Newark, NJ 07112, USA; Rutgers New Jersey Medical School, Newark, NJ 07103, USA.

出版信息

Cardiol Clin. 2014 Feb;32(1):113-24, viii-ix. doi: 10.1016/j.ccl.2013.09.013.

DOI:10.1016/j.ccl.2013.09.013

PMID:24286582

Abstract

From humble beginnings in 1963 with a single desperately ill patient, mechanical circulatory support has expanded exponentially to where it is a viable alternative for advanced heart failure patients. Some of these patients are awaiting transplant but others will have a mechanical heart pump as their ultimate treatment. The history of MCS devices is reviewed, along with the 4 trials that define the modern era of circulatory support. The practical aspects of life with an MCS device are reviewed and common problems encountered with MCS devices. Future trends including miniaturization and development of completely contained MCS systems are reviewed.

摘要

从 1963 年的一个只有一个重病患者的卑微开端开始，机械循环支持已经呈指数级增长，成为晚期心力衰竭患者的可行替代方案。这些患者中的一些正在等待移植，但另一些将使用机械心脏泵作为最终治疗方法。本文回顾了 MCS 设备的历史，以及定义现代循环支持时代的 4 项试验。本文还回顾了使用 MCS 设备的实际问题和常见问题。还讨论了包括小型化和完全内置 MCS 系统开发在内的未来趋势。