Telukuntla Kartik S, Estep Jerry D
CLEVELAND CLINIC, CLEVELAND, OHIO.
Methodist Debakey Cardiovasc J. 2020 Jan-Mar;16(1):27-35. doi: 10.14797/mdcj-16-1-27.
Cardiogenic shock is associated with significant morbidity and mortality, and clinicians have increasingly used short-term mechanical circulatory support (MCS) over the last 15 years to manage outcomes. In general, the provision of greater hemodynamic support comes with device platforms that are more complex and potentially associated with more adverse events. In this review, we compare and contrast the available percutaneous and surgically placed device types used in cardiogenic shock and discuss the associated clinical and hemodynamic data to support device use.
心源性休克与显著的发病率和死亡率相关,在过去15年里,临床医生越来越多地使用短期机械循环支持(MCS)来改善治疗结果。一般来说,提供更强的血流动力学支持所使用的设备平台更复杂,并且可能伴随着更多不良事件。在本综述中,我们比较和对比了用于心源性休克的现有经皮和外科植入的设备类型,并讨论了支持设备使用的相关临床和血流动力学数据。