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植入HeartMate II的原则，以避免泵位置不当和移位。

Principles of HeartMate II implantation to avoid pump malposition and migration.

作者信息

Adamson Robert M, Mangi Abeel A, Kormos Robert L, Farrar David J, Dembitsky Walter P

机构信息

Sharp Memorial Hospital, San Diego, California.

出版信息

J Card Surg. 2015 Mar;30(3):296-9. doi: 10.1111/jocs.12478. Epub 2014 Dec 4.

DOI:10.1111/jocs.12478
PMID:25472467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4359036/
Abstract

Proper left ventricular assist device (LVAD) insertion will help maximize LVAD flow and may reduce adverse events such as right heart failure and pump thrombosis. Although no standardized insertion technique has been universally accepted, the goals are: unobstructed inflow cannula, unobstructed outflow graft with avoidance of right ventricular compression, and prevention of pump migration. To achieve these objectives for the HeartMate II LVAD, we delineate four principles: proper pump pocket creation, optimized positioning of inflow cannula and outflow graft, proper pump position in the body, and fixation. These basic principles are easy to implement and have been beneficial in our patients, assuring long-term unobstructed LVAD flow.

摘要

正确植入左心室辅助装置（LVAD）有助于使LVAD流量最大化，并可能减少诸如右心衰竭和泵血栓形成等不良事件。尽管尚未有标准化的植入技术被普遍接受，但目标是：流入插管无梗阻、流出移植物无梗阻并避免右心室受压，以及防止泵移位。为实现HeartMate II LVAD的这些目标，我们阐述了四项原则：正确创建泵袋、优化流入插管和流出移植物的定位、泵在体内的正确位置以及固定。这些基本原则易于实施，且对我们的患者有益，可确保LVAD长期无梗阻地流动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b9/4359036/aaf34d275c78/jocs0030-0296-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b9/4359036/669cefb6c5a6/jocs0030-0296-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b9/4359036/f1968669f490/jocs0030-0296-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b9/4359036/aaf34d275c78/jocs0030-0296-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b9/4359036/669cefb6c5a6/jocs0030-0296-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b9/4359036/f1968669f490/jocs0030-0296-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b9/4359036/aaf34d275c78/jocs0030-0296-f3.jpg

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