通过CardiacAssist Protek-Duo TandemHeart同时植入左心室辅助装置（LVAD）和经皮临时右心室辅助装置支持以预防右心衰竭。
Concurrent Left Ventricular Assist Device (LVAD) Implantation and Percutaneous Temporary RVAD Support via CardiacAssist Protek-Duo TandemHeart to Preempt Right Heart Failure.
作者信息
Schmack Bastian, Weymann Alexander, Popov Aron-Frederik, Patil Nikhil Prakash, Sabashnikov Anton, Kremer Jamila, Farag Mina, Brcic Andreas, Lichtenstern Christoph, Karck Matthias, Ruhparwar Arjang
机构信息
Department of Cardiac Surgery, Heart Centre, University Hospital Heidelberg, Heidelberg, Germany.
Department of Cardiothoracic Transplantation & Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom.
出版信息
Med Sci Monit Basic Res. 2016 May 5;22:53-7. doi: 10.12659/MSMBR.898897.
Abstract
Right ventricular failure (RVF) is an unfortunate complication that continues to limit outcomes following durable left ventricular assist device (LVAD) implantation. Despite several 'RVF risk scores' having been proposed, preoperative prediction of post-LVAD RVF remains a guesstimate at best. Current strategies for institution of temporary RVAD support are invasive, necessitate additional re-thoracotomy, restrict postoperative mobilization, and/or entail prolonged retention of prosthetic material in-situ. The authors propose a novel surgical strategy comprising simultaneous implantation of a permanent LVAD and percutaneous TandemHeart® plus ProtekDuo® to provide temporary RVAD support and preempt RVF in patients with impaired RV function.
摘要
右心室衰竭（RVF）是一种不幸的并发症，它仍然限制着持久性左心室辅助装置（LVAD）植入后的治疗效果。尽管已经提出了几种“RVF风险评分”，但LVAD植入术后RVF的术前预测充其量仍只是一种猜测。目前建立临时RVAD支持的策略具有侵入性，需要再次开胸，限制术后活动，和/或需要在原位长期保留假体材料。作者提出了一种新颖的手术策略，包括同时植入永久性LVAD和经皮TandemHeart®加ProtekDuo®，以提供临时RVAD支持并预防右心室功能受损患者的RVF。
相似文献
1
Concurrent Left Ventricular Assist Device (LVAD) Implantation and Percutaneous Temporary RVAD Support via CardiacAssist Protek-Duo TandemHeart to Preempt Right Heart Failure.通过CardiacAssist Protek-Duo TandemHeart同时植入左心室辅助装置（LVAD）和经皮临时右心室辅助装置支持以预防右心衰竭。
Med Sci Monit Basic Res. 2016 May 5;22:53-7. doi: 10.12659/MSMBR.898897.
2
Can Perioperative Right Ventricular Support Prevent Postoperative Right Heart Failure in Patients With Biventricular Dysfunction Undergoing Left Ventricular Assist Device Implantation?围手术期右心室支持能否预防接受左心室辅助装置植入的双心室功能障碍患者术后右心衰竭？
J Cardiothorac Vasc Anesth. 2016 Jun;30(3):619-26. doi: 10.1053/j.jvca.2016.02.023. Epub 2016 Feb 26.
3
Novel percutaneous dual-lumen cannula-based right ventricular assist device provides effective support for refractory right ventricular failure after left ventricular assist device implantation.新型经皮双腔套管式右心室辅助装置为左心室辅助装置植入术后难治性右心室衰竭提供有效支持。
Interact Cardiovasc Thorac Surg. 2020 Apr 1;30(4):499-506. doi: 10.1093/icvts/ivz322.
4
Left ventricular vs. biventricular mechanical support: Decision making and strategies for avoidance of right heart failure after left ventricular assist device implantation.左心室与双心室机械支持：左心室辅助装置植入术后避免右心衰竭的决策制定与策略
Int J Cardiol. 2015 Nov 1;198:241-50. doi: 10.1016/j.ijcard.2015.06.103. Epub 2015 Jul 2.
5
[Left ventricular assist device recipients at risk of right ventricular failure: the role of a planned temporary biventricular support].[左心室辅助装置受者发生右心室衰竭的风险：计划性临时双心室支持的作用]
G Ital Cardiol (Rome). 2011 Dec;12(12):839-45. doi: 10.1714/996.10830.
6
Temporary right ventricular support following left ventricle assist device implantation: a comparison of two techniques.左心室辅助装置植入术后的临时右心室支持：两种技术的比较
Interact Cardiovasc Thorac Surg. 2014 Jul;19(1):49-55. doi: 10.1093/icvts/ivu072. Epub 2014 Mar 21.
7
Simple implantation of a temporary right ventricular device for right ventricular failure after left ventricular device implantation via a left lateral thoracotomy.经左侧侧胸切口行左心室装置植入术后，通过简单植入一个临时右心室装置治疗右心室衰竭。
ASAIO J. 2011 Jan-Feb;57(1):17-8. doi: 10.1097/MAT.0b013e318201a583.
8
Alternative right ventricular assist device implantation technique for patients with perioperative right ventricular failure.围手术期右心室衰竭患者的替代性右心室辅助装置植入技术
J Thorac Cardiovasc Surg. 2015 Mar;149(3):927-32. doi: 10.1016/j.jtcvs.2014.10.104. Epub 2014 Nov 1.
9
Outcomes with the Tandem Protek Duo Dual-Lumen Percutaneous Right Ventricular Assist Device.Tandem Protek Duo 双腔经皮右心室辅助装置的结果。
ASAIO J. 2018 Jul/Aug;64(4):570-572. doi: 10.1097/MAT.0000000000000709.
10
Postoperative right ventricular failure after left ventricular assist device placement is predicted by preoperative echocardiographic structural, hemodynamic, and functional parameters.左心室辅助装置植入术后右心室衰竭可通过术前超声心动图的结构、血流动力学和功能参数预测。
J Card Fail. 2013 Jan;19(1):16-24. doi: 10.1016/j.cardfail.2012.11.001.
引用本文的文献
1
Novel Therapies for Right Ventricular Failure.右心室衰竭的新型治疗方法
Curr Cardiol Rep. 2025 Jan 18;27(1):26. doi: 10.1007/s11886-024-02157-9.
2
A Comprehensive Review of Cardiovascular Disease Management: Cardiac Biomarkers, Imaging Modalities, Pharmacotherapy, Surgical Interventions, and Herbal Remedies.心血管疾病管理的综合述评：心脏生物标志物、成像方式、药物治疗、手术干预和草药疗法。
Cells. 2024 Sep 1;13(17):1471. doi: 10.3390/cells13171471.
3
Management of Post-Myocardial Infarction Right Ventricular Failure.心肌梗死后右心室衰竭的管理
J Soc Cardiovasc Angiogr Interv. 2022 Nov 26;2(1):100526. doi: 10.1016/j.jscai.2022.100526. eCollection 2023 Jan-Feb.
4
Management of Pulmonary Hypertension in Patients on Left Ventricular Assist Device Support.左心室辅助装置支持下患者的肺动脉高压管理
Rev Cardiovasc Med. 2022 Sep 13;23(9):308. doi: 10.31083/j.rcm2309308. eCollection 2022 Sep.
5
The ProtekDuo Cannula: A Comprehensive Review of Efficacy and Clinical Applications in Right Ventricular Failure.ProtekDuo套管针：右心室衰竭疗效及临床应用的综合综述
J Clin Med. 2024 Jul 12;13(14):4077. doi: 10.3390/jcm13144077.
6
Left ventricular unloading therapy using Impella 5.5 after emergency surgery for acute myocardial infarction mechanical complication: a case report.经急诊手术治疗急性心肌梗死机械并发症后使用 Impella 5.5 进行左心室卸载治疗：一例报告。
J Cardiothorac Surg. 2024 Jun 26;19(1):381. doi: 10.1186/s13019-024-02879-5.
7
Refractory cor pulmonale under extracorporeal membrane oxygenation for acute respiratory distress syndrome: the role of conversion to veno-pulmonary arterial assist-a case series.体外膜肺氧合治疗急性呼吸窘迫综合征时的难治性肺心病：转换为静脉-肺动脉辅助的作用——病例系列
Front Med (Lausanne). 2024 Apr 25;11:1348077. doi: 10.3389/fmed.2024.1348077. eCollection 2024.
8
Right ventricular dysfunction in left ventricular assist device candidates: is it time to change our prospective?左心室辅助装置候选者的右心室功能障碍：是否是时候改变我们的预期了？
Heart Fail Rev. 2024 Mar;29(2):559-569. doi: 10.1007/s10741-024-10387-w. Epub 2024 Feb 8.
9
ProtekDuo percutaneous ventricular support system-physiology and clinical applications.ProtekDuo经皮心室支持系统——生理学与临床应用
Ann Transl Med. 2024 Feb 1;12(1):14. doi: 10.21037/atm-23-1734. Epub 2023 Dec 4.
10
The Use of Cardioprotective Devices and Strategies in Patients Undergoing Percutaneous Procedures and Cardiac Surgery.经皮手术和心脏手术患者中心脏保护装置和策略的应用
Healthcare (Basel). 2023 Apr 11;11(8):1094. doi: 10.3390/healthcare11081094.
本文引用的文献
1
Paediatric mechanical circulatory support with Berlin Heart EXCOR: development and outcome of a 23-year experience.使用柏林心脏EXCOR的儿科机械循环支持：23年经验的发展与结果
Eur J Cardiothorac Surg. 2016 Aug;50(2):203-10. doi: 10.1093/ejcts/ezw011. Epub 2016 Feb 22.
2
Outcomes of contemporary mechanical circulatory support device configurations in patients with severe biventricular failure.当代机械循环支持设备配置用于严重双心室衰竭患者的治疗结果。
J Thorac Cardiovasc Surg. 2016 Feb;151(2):530-5.e2. doi: 10.1016/j.jtcvs.2015.10.019. Epub 2015 Oct 22.
3
Past and Present of Total Artificial Heart Therapy: A Success Story.全人工心脏治疗的过去与现在：一个成功的故事
Med Sci Monit Basic Res. 2015 Sep 7;21:183-90. doi: 10.12659/MSMBR.895418.
4
A novel minimally invasive off-pump biventricular assist device insertion technique.一种新型的微创非体外循环双心室辅助装置植入技术。
J Thorac Cardiovasc Surg. 2016 Jan;151(1):e5-7. doi: 10.1016/j.jtcvs.2015.07.074. Epub 2015 Jul 29.
5
Preoperative predictors and outcomes of right ventricular assist device implantation after continuous-flow left ventricular assist device implantation.连续流左心室辅助装置植入术后右心室辅助装置植入的术前预测因素及结果
J Thorac Cardiovasc Surg. 2015 Dec;150(6):1651-8. doi: 10.1016/j.jtcvs.2015.07.090. Epub 2015 Aug 1.
6
Right ventricular failure after left ventricular assist devices.左心室辅助装置后的右心室衰竭
J Heart Lung Transplant. 2015 Sep;34(9):1123-30. doi: 10.1016/j.healun.2015.06.015. Epub 2015 Jul 10.
7
Alternative right ventricular assist device implantation technique for patients with perioperative right ventricular failure.围手术期右心室衰竭患者的替代性右心室辅助装置植入技术
J Thorac Cardiovasc Surg. 2015 Mar;149(3):927-32. doi: 10.1016/j.jtcvs.2014.10.104. Epub 2014 Nov 1.
8
Sixth INTERMACS annual report: a 10,000-patient database.国际机械循环辅助装置注册研究（INTERMACS）第六年度报告：一个包含10000名患者的数据库。
J Heart Lung Transplant. 2014 Jun;33(6):555-64. doi: 10.1016/j.healun.2014.04.010. Epub 2014 Apr 21.
9
Outcome of unplanned right ventricular assist device support for severe right heart failure after implantable left ventricular assist device insertion.植入左心室辅助装置后因严重右心衰竭接受非计划性右心室辅助装置支持的结果
J Heart Lung Transplant. 2014 Feb;33(2):141-8. doi: 10.1016/j.healun.2013.06.025. Epub 2013 Aug 6.
10
Long-term paracorporeal ventricular support systems: a single-center experience.长期体外心室辅助系统：单中心经验
Transplant Proc. 2013 Apr;45(3):1013-6. doi: 10.1016/j.transproceed.2013.02.073.
Zotero 插件