Ise Hayato, Kitahara Hiroto, Aubin Hug, Saeed Diyar, Westenfeld Ralf, Akhyari Payam, Boeken Udo, Walz Roland, Albert Alexander, Lichtenberg Artur, Kamiya Hiroyuki
Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Section of Cardiac and Thoracic Surgery, Department of Surgery, the University of Chicago, Chicago, IL, USA.
J Surg Case Rep. 2018 Nov 13;2018(11):rjy302. doi: 10.1093/jscr/rjy302. eCollection 2018 Nov.
Extracorporeal life support (ECLS) is used for the treatment of severe cardiogenic shock. However, pulmonary congestion can progress to a severe problem with ECLS therapy. We report our experience with the Impella system for severe pulmonary congestion with ECLS therapy. We used the Impella system for two patients, which led to successful unloading of the left ventricle. Impella implantation during ECLS support appears to be a promising concept. However, more evidence is required for further evaluation.
体外生命支持（ECLS）用于治疗严重的心源性休克。然而，在ECLS治疗过程中，肺充血可能会发展成一个严重问题。我们报告了我们使用Impella系统治疗ECLS相关严重肺充血的经验。我们对两名患者使用了Impella系统，成功减轻了左心室负荷。在ECLS支持期间植入Impella似乎是一个有前景的概念。然而，需要更多证据进行进一步评估。
