Eleuteri Kimber, Koerner Michael Mathias, Horstmanshof Douglas, El Banayosy Aly
Mechanical Circulatory Support, Medtronic, 500 Old Connecticut Path, Framingham, MA 01701, USA.
Cardiovascular Intensive Care, Integris Baptist Medical Center, 3300 Northwest Expressway, Oklahoma City, OK 73112, USA.
Cardiol Clin. 2018 Nov;36(4):473-485. doi: 10.1016/j.ccl.2018.06.002.
Cardiogenic shock (CS) refractory to conventional therapies continues to be a challenging medical syndrome, with poor prognosis and high complication and mortality rates. The application and use of temporary mechanical circulatory support (MCS) is a component in the treatment of CS patients and should be applied early in the presentation. Crucial to the success of their application, temporary MCS devices should be chosen based on degree of patient acuity and etiology of CS. Not all temporary MCS devices deliver the same degree of hemodynamic support and range from minimal support to systemic support via veno-arterial extracorporeal membrane oxygenation.
对传统疗法难治的心源性休克(CS)仍然是一种具有挑战性的医学综合征,预后差,并发症和死亡率高。临时机械循环支持(MCS)的应用是CS患者治疗的一个组成部分,应在疾病呈现早期应用。临时MCS设备应用成功的关键在于应根据患者的危急程度和CS的病因来选择。并非所有临时MCS设备都能提供相同程度的血流动力学支持,其范围从最小支持到通过静脉-动脉体外膜肺氧合提供的全身支持。