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心源性休克的短期循环和右心室支持:体外膜氧合、串联心脏、CentriMag 和 Impella。

Short-Term Circulatory and Right Ventricle Support in Cardiogenic Shock: Extracorporeal Membrane Oxygenation, Tandem Heart, CentriMag, and Impella.

机构信息

Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and Heart and Vascular Institute, University of Pittsburgh Medical Center, 5200 Centre Avenue, Pittsburgh, PA 15206, USA; Cardiothoracic Surgery, University of Pittsburgh, 5200 Centre Avenue, Suite 715, Pittsburgh, PA 15213, USA.

Division of Cardiac Surgery, Department of Surgery, Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21234, USA.

出版信息

Heart Fail Clin. 2018 Oct;14(4):579-583. doi: 10.1016/j.hfc.2018.06.014. Epub 2018 Aug 20.

Abstract

Severe right ventricular (RV) failure is a significant cause of morbidity and mortality, with an in-hospital mortality rate up to 70% to 75%. Medical management is employed and is successful for most of these patients. However, a small percentage of patients will continue to have persistent RV failure, for which mechanical support is used for management.

摘要

严重右心室(RV)衰竭是发病率和死亡率的重要原因,住院死亡率高达 70%至 75%。大多数此类患者采用药物治疗,且治疗效果良好。然而,仍有一小部分患者会持续出现 RV 衰竭,此时需要使用机械支持进行治疗。

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