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不同外科策略在植入持续性血流动力心室辅助装置中的应用-柏林德国心脏中心的经验。

Different surgical strategies for implantation of continuous-flow VADs-Experience from Deutsches Herzzentrum Berlin.

机构信息

Deutsches Herzzentrum Berlin, Department for Cardiothoracic and Vascular Surgery, Berlin, Germany.

出版信息

Ann Cardiothorac Surg. 2014 Sep;3(5):472-4. doi: 10.3978/j.issn.2225-319X.2014.09.06.

DOI:10.3978/j.issn.2225-319X.2014.09.06
PMID:25452906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4229462/
Abstract

OBJECTIVE

This manuscript summarizes our surgical experience with the implantation of recent continuous-flow left ventricular assist devices (LVADs), with special emphasis on the HeartWare HVAD pump.

METHODS

THE HEARTWARE HVAD IS, IN OUR EXPERIENCE CURRENTLY IMPLANTED IN FOUR DIFFERENT TECHNIQUES: (I) "Classical" LVAD implantation with heart-lung machine and median sternotomy; (II) "Minimally-invasive" implantation without sternotomy and without heart-lung machine; (III) "Lateral implantation" to the descending aorta; (IV) Using two continuous-flow LVADs for implantable biventricular support.

RESULTS

Five-hundred and four HeartWare HVADs have been implanted using the described techniques in our institution up to now.

CONCLUSIONS

The HeartWare HVAD is a versatile device. It has been found to be eminently suited to these four different modes of implantation.

摘要

目的

本文总结了我们使用最近的连续流左心室辅助装置(LVAD)进行手术的经验,特别强调了 HeartWare HVAD 泵。

方法

根据我们的经验,HeartWare HVAD 目前采用以下四种不同技术进行植入:(一)使用体外循环和正中劈开胸骨的“经典”LVAD 植入术;(二)无需劈开胸骨和体外循环的“微创”植入术;(三)降主动脉“侧置”;(四)使用两个连续流 LVAD 进行可植入的双心室支持。

结果

到目前为止,我们机构已经使用上述技术植入了 504 个 HeartWare HVAD。

结论

HeartWare HVAD 是一种多功能设备。现已发现它非常适合这四种不同的植入模式。

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本文引用的文献

1
Biventricular circulatory support with two miniaturized implantable assist devices.使用两个小型植入式辅助设备进行双心室循环支持。
Circulation. 2011 Sep 13;124(11 Suppl):S179-86. doi: 10.1161/CIRCULATIONAHA.110.011502.
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Alternative technique for implantation of biventricular support with HeartWare implantable continuous flow pump.双心室辅助的 HeartWare 植入式连续流泵的替代植入技术。
ASAIO J. 2011 Jul-Aug;57(4):333-5. doi: 10.1097/MAT.0b013e31821798c4.
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Mechanical circulatory support-results, developments and trends.机械循环支持的结果、发展和趋势。
J Cardiovasc Transl Res. 2011 Jun;4(3):332-9. doi: 10.1007/s12265-011-9268-0. Epub 2011 Mar 11.
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Evaluation of the HeartWare HVAD centrifugal pump for right ventricular assistance in an in vitro model.体外模型中 HeartWare HVAD 离心泵用于右心室辅助的评估。
ASAIO J. 2011 May-Jun;57(3):183-7. doi: 10.1097/MAT.0b013e318211ba2b.