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患者自控调节促进左心室辅助装置诱导的心肌恢复。

Patient-controlled conditioning for left ventricular assist device-induced myocardial recovery.

作者信息

Healy Aaron H, Koliopoulou Antigoni, Drakos Stavros G, McKellar Stephen H, Stehlik Josef, Selzman Craig H

机构信息

Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.

Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah.

出版信息

Ann Thorac Surg. 2015 May;99(5):1794-6. doi: 10.1016/j.athoracsur.2014.07.058.

Abstract

Although medical protocols exist to promote reverse remodeling in left ventricular assist device-supported patients, there are scant data about device management in these patients. We report the use of a Jarvik 2000 left ventricular assist device (Jarvik Heart Inc, New York, NY) to facilitate myocardial recovery leading to device explantation using a sequential, patient-controlled approach. Sequential conditioning of the left ventricular assist device-supported heart is a promising strategy for bridging patients to recovery and pump removal.

摘要

尽管存在促进左心室辅助装置支持患者逆向重构的医学方案,但关于这些患者的装置管理的数据却很少。我们报告了使用Jarvik 2000左心室辅助装置(Jarvik Heart Inc,纽约,NY),采用循序渐进、患者可控的方法促进心肌恢复,最终实现装置移除。对左心室辅助装置支持的心脏进行循序渐进的调节,是帮助患者恢复并移除泵的一种有前景的策略。

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