From the *Department of Surgery, University of Washington, Seattle, Washington; and †Division of Cardiac Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
ASAIO J. 2017 Nov/Dec;63(6):844-846. doi: 10.1097/MAT.0000000000000556.
Right ventricular failure is a challenging problem after left ventricular assist device implantation, leading to considerable morbidity and mortality. When inotropic support is no longer adequate, a temporary right ventricular assist device is needed that often mandates reopening of the sternotomy for implant and explant. We describe our technique to percutaneously place a right internal jugular cannula for extracorporeal support.
右心室衰竭是左心室辅助装置植入后的一个具有挑战性的问题,导致相当高的发病率和死亡率。当正性肌力支持不再足够时,需要一个临时的右心室辅助装置,这通常需要重新打开胸骨以植入和取出。我们描述了一种经皮放置右颈内静脉插管进行体外支持的技术。