Palaniswamy Chandrasekar, Miller Marc A, Reddy Vivek Y, Dukkipati Srinivas R
Division of Cardiology, Department of Medicine, University of California San Francisco Fresno Medical Education Program, 155 N Fresno Street, Fresno, CA 93701, USA.
Helmsley Electrophysiology Center, Division of Cardiology, Department of Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
Card Electrophysiol Clin. 2017 Mar;9(1):141-152. doi: 10.1016/j.ccep.2016.10.011. Epub 2016 Dec 24.
This review discusses the role of hemodynamic support for catheter ablation of unstable ventricular tachycardia, using commercially available mechanical circulatory support devices (intra-aortic balloon pump, Impella, TandemHeart, extracorporeal membrane oxygenation) and analyzes the published clinical experience of the safety and efficacy of these devices during ventricular tachycardia ablation. Appropriate selection of patients, device-specific characteristics, and hemodynamic monitoring is also discussed.
本综述讨论了使用市售机械循环支持设备(主动脉内球囊反搏、Impella、TandemHeart、体外膜肺氧合)对不稳定室性心动过速进行导管消融时血流动力学支持的作用,并分析了这些设备在室性心动过速消融期间安全性和有效性的已发表临床经验。还讨论了患者的适当选择、设备特定特征和血流动力学监测。