Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
JACC Heart Fail. 2018 Jun;6(6):503-516. doi: 10.1016/j.jchf.2017.11.017. Epub 2018 Apr 11.
Venoarterial extracorporeal membrane oxygenation has emerged as a viable treatment for patients in cardiogenic shock with biventricular failure and pulmonary dysfunction. Advances in pump and oxygenator technology, cannulation strategies, patient selection and management, and durable mechanical circulatory support have contributed to expanded utilization of this technology. However, challenges remain that require investigation to improve outcomes.
体外膜肺氧合在治疗心源性休克伴双心室衰竭和肺功能障碍的患者方面已成为一种可行的治疗方法。泵和氧合器技术、置管策略、患者选择和管理以及持久的机械循环支持方面的进步促进了这项技术的广泛应用。然而,仍存在需要研究以改善结果的挑战。