Mallidi Hari R, Anand Jatin, Cohn William E
Department of Surgery, Baylor College of Medicine; and Center for Cardiac Support, Texas Heart Institute; Houston, Texas 77030.
Tex Heart Inst J. 2014 Apr 1;41(2):115-20. doi: 10.14503/THIJ-14-4143. eCollection 2014 Apr.
Mechanical circulatory support of the failing heart has become an important means of treating end-stage heart disease. This rapidly growing therapeutic field has produced impressive clinical outcomes and has great potential to help thousands of otherwise terminal patients worldwide. In this review, we examine the state of the art of mechanical circulatory support: current practice, totally implantable systems of the future, evolving biventricular support mechanisms, the potential for myocardial recovery and adjunctive treatment methods, and miniaturized devices with expanded indications for therapy.
衰竭心脏的机械循环支持已成为治疗终末期心脏病的重要手段。这个快速发展的治疗领域已取得了令人瞩目的临床成果,并且有巨大潜力帮助全球成千上万原本会死亡的患者。在本综述中,我们审视了机械循环支持的当前技术水平:当前的实践、未来的完全植入式系统、不断发展的双心室支持机制、心肌恢复的潜力和辅助治疗方法,以及具有更广泛治疗适应症的小型化设备。