在栓塞性中风后采用两阶段HeartWare左心室辅助装置取出术成功过渡到康复阶段。

Successful bridge to recovery using two-stage HeartWare LVAD explantation approach after embolic stroke.

作者信息

Sabashnikov Anton, Högerle Benjamin A, Mohite Prashant N, Popov Aron-Frederik, Sáez Diana García, Fatullayev Javid, Amrani Mohamed, Wahlers Thorsten, Simon André R, Bahrami Toufan

机构信息

Department of Cardiothoracic Transplantation & Mechanical Support, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Hill End Road, Harefield, Middlesex, United Kingdom UB9 6JH.

出版信息

J Cardiothorac Surg. 2013 Dec 30;8:233. doi: 10.1186/1749-8090-8-233.

DOI:10.1186/1749-8090-8-233

PMID:24377791

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3892123/

Abstract

A two-stage explantation of a left ventricular assist device (LVAD) was performed on 47 year old afro-american gentlemen with non-ischemic dilated cardiomyopathy (DCM) who was successfully bridged to recovery. After he suffered a stroke caused by a VAD thrombosis with embolisation, the VAD outflow graft was first ligated using minimally-invasive approach. Two months later, the device was explanted and a manufactured titanium plug was placed into the sewing ring. This stepwise procedure might be beneficial in cases of high thromboembolic risk and in patients who suffered a thromboembolic event previously.

摘要

对一名47岁患有非缺血性扩张型心肌病（DCM）的非裔美国男性患者进行了两阶段的左心室辅助装置（LVAD）取出手术，该患者成功过渡到康复阶段。在他因VAD血栓形成伴栓塞导致中风后，首先采用微创方法结扎了VAD流出移植物。两个月后，取出装置，并在缝合环处放置了一个定制的钛塞。对于血栓栓塞风险高的病例以及先前发生过血栓栓塞事件的患者，这种分步进行的手术可能是有益的。