Shehab Sajad, Hayward Christopher S
Cardiology Department, St Vincent's Hospital Sydney, Australia.
Card Fail Rev. 2019 Feb;5(1):19-23. doi: 10.15420/cfr.2018.23.2.
Right ventricular failure following left ventricular assist devices implantation is a serious complication associated with high mortality. In patients with or at high risk of developing right ventricular failure, biventricular support is recommended. Because univentricular support is associated with high survival rates, biventricular support is often undertaken as a last resort. With the advent of newer right ventricular and biventricular systems under design and testing, better differentiation is required to ensure optimal patients care. Clear guidelines on patient selection, time of intervention and device selection are required to improve patient outcomes.
植入左心室辅助装置后发生的右心室衰竭是一种严重并发症，死亡率很高。对于已发生或有发生右心室衰竭高风险的患者，建议采用双心室支持。由于单心室支持的生存率较高，双心室支持往往是作为最后的手段。随着正在设计和测试的新型右心室和双心室系统的出现，需要更好地进行区分以确保为患者提供最佳护理。需要有关于患者选择、干预时机和装置选择的明确指南，以改善患者的治疗结果。
