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心源性休克的经皮机械支持：综述

Percutaneous Mechanical Support in Cardiogenic Shock: A Review.

作者信息

Gilani Fahad Syed, Farooqui Sarah, Doddamani Rajiv, Gruberg Luis

机构信息

Division of Cardiovascular Medicine, Boston University School of Medicine, Boston Medical Center. Boston, MA, USA.

Division of Cardiovascular Disease, Department of Internal Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA.

出版信息

Clin Med Insights Cardiol. 2015 May 28;9(Suppl 2):23-8. doi: 10.4137/CMC.S19707. eCollection 2015.

DOI:10.4137/CMC.S19707
PMID:26052235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4448941/
Abstract

Cardiogenic shock (CS) is a life-threatening condition associated with significant morbidity and mortality. Pharmacological therapy is often the first line of treatment but mechanical support can provide substantial hemodynamic improvement in refractory CS. Percutaneous mechanical support devices are placed in a minimally invasive manner and provide life-saving assistance to the failing myocardium. We review the percutaneous devices currently available, the evidence behind their use, and the new advances in percutaneous technology being evaluated for the treatment of CS.

摘要

心源性休克（CS）是一种危及生命的疾病，伴有显著的发病率和死亡率。药物治疗通常是一线治疗方法，但机械支持可为难治性CS提供显著的血流动力学改善。经皮机械支持装置以微创方式置入，为衰竭的心肌提供挽救生命的辅助。我们回顾了目前可用的经皮装置、其使用背后的证据以及正在评估用于治疗CS的经皮技术的新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/4448941/c234ab30579d/cmc-suppl.2-2015-023f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/4448941/3b8a7c1179cb/cmc-suppl.2-2015-023f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/4448941/2f1a0d27d8df/cmc-suppl.2-2015-023f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/4448941/9a5fda61faab/cmc-suppl.2-2015-023f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/4448941/c234ab30579d/cmc-suppl.2-2015-023f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/4448941/3b8a7c1179cb/cmc-suppl.2-2015-023f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/4448941/2f1a0d27d8df/cmc-suppl.2-2015-023f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/4448941/9a5fda61faab/cmc-suppl.2-2015-023f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/4448941/c234ab30579d/cmc-suppl.2-2015-023f4.jpg

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本文引用的文献

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The efficacy and safety of mechanical hemodynamic support in patients undergoing high-risk percutaneous coronary intervention with or without cardiogenic shock: Bayesian approach network meta-analysis of 13 randomized controlled trials.机械血流动力学支持在伴有或不伴有心源性休克的高危经皮冠状动脉介入治疗患者中的疗效和安全性：13项随机对照试验的贝叶斯方法网状荟萃分析
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Extracorporeal membrane oxygenation in cardiopulmonary disease in adults.体外膜肺氧合在成人心肺疾病中的应用。
J Am Coll Cardiol. 2014 Jul 1;63(25 Pt A):2769-78. doi: 10.1016/j.jacc.2014.03.046. Epub 2014 May 7.
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Feasibility and efficacy of the 2.5 L and 3.8 L impella percutaneous left ventricular support device during high-risk, percutaneous coronary intervention in patients with severe aortic stenosis.2.5升和3.8升Impella经皮左心室支持装置在重度主动脉瓣狭窄患者高危经皮冠状动脉介入治疗中的可行性和疗效。
Catheter Cardiovasc Interv. 2015 May;85(6):981-9. doi: 10.1002/ccd.25355. Epub 2014 Jan 31.
6
The current use of Impella 2.5 in acute myocardial infarction complicated by cardiogenic shock: results from the USpella Registry.Impella 2.5在急性心肌梗死合并心源性休克中的当前应用：来自USpella注册研究的结果。
J Interv Cardiol. 2014 Feb;27(1):1-11. doi: 10.1111/joic.12080. Epub 2013 Dec 13.
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Use of extracorporeal membrane oxygenation in adults.体外膜肺氧合在成人中的应用。
Heart Lung Circ. 2014 Jan;23(1):10-23. doi: 10.1016/j.hlc.2013.08.009. Epub 2013 Sep 1.
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The Impella device for acute mechanical circulatory support in patients in cardiogenic shock.Impella 装置在心源休克患者中的急性机械循环支持。
Ann Thorac Surg. 2014 Jan;97(1):133-8. doi: 10.1016/j.athoracsur.2013.07.053. Epub 2013 Oct 1.
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Which is better: a miniaturized percutaneous ventricular assist device or extracorporeal membrane oxygenation for patients with cardiogenic shock?对于心源性休克患者，采用微型经皮心室辅助装置与体外膜肺氧合治疗，哪种方法更好？
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