Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Heart and Vascular Institute, Cleveland, Ohio.
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Heart and Vascular Institute, Cleveland, Ohio.
Semin Thorac Cardiovasc Surg. 2020;32(3):389-395. doi: 10.1053/j.semtcvs.2020.02.034. Epub 2020 May 3.
The objective of this review is to describe the various support options available for the failing right heart with a focus on stabilization using assist devices. Right heart failure has multiple etiologies and is a strong and independent predictor of mortality and poor clinical outcomes. Early intervention with catheter- and surgical-based mechanical circulatory support can stabilize the critically ill patient and allow for right ventricular recovery.
本次综述的目的在于描述各种可能的支持手段,以应对右心衰竭。本综述重点关注使用辅助设备稳定病情。右心衰竭有多种病因,是死亡率和临床预后不良的强独立预测因子。早期采用导管和手术机械循环支持可以稳定重症患者的病情,并使右心室恢复功能。