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Reitan 导管泵在急性充血性心力衰竭伴低心输出量和肾功能障碍患者中的经皮心脏循环支持作用?

A role for the Reitan catheter pump for percutaneous cardiac circulatory support of patients presenting acute congestive heart failure with low output and renal dysfunction?

机构信息

Cardiology, Cardiovascular Department, Lausanne University Hospital, Rue du Bugnon 46, 1011 Lausanne, Switzerland.

Department of Intensive Care, Lausanne University Hospital, Rue du Bugnon 46, 1011 Lausanne, Switzerland.

出版信息

Future Cardiol. 2020 May;16(3):159-164. doi: 10.2217/fca-2019-0080. Epub 2020 Mar 5.

Abstract

Outcomes in acute decompensated heart failure remain poor, in particular when patients present with impaired renal function. Recent results indicate that treatment of acute decompensated heart failure patients with the Reitan catheter pump not only increases cardiac index, but also improves renal function resulting in maintained increase of diuresis. These favorable effects were achieved without significant hemolysis, bleeding or vascular complications suggesting that Reitan catheter pump treatment has the potential to facilitate recovery from acute decompensated heart failure with low output and complicated by renal dysfunction.

摘要

急性失代偿性心力衰竭的预后仍然较差,特别是当患者肾功能受损时。最近的研究结果表明,使用雷坦导管泵治疗急性失代偿性心力衰竭不仅可以增加心指数,还可以改善肾功能,从而保持利尿作用的增加。这些有利的效果是在没有明显溶血、出血或血管并发症的情况下实现的,这表明雷坦导管泵治疗有可能促进低心输出量和合并肾功能障碍的急性失代偿性心力衰竭的恢复。

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