König Tobias, Hanke Jasmin S, Dogan Guenes, Kempf Tibor, Sieweke Jan-Thorben, Schäfer Andreas, Bauersachs Johann, Schmitto Jan D, Napp L Christian
Cardiac Arrest Center, Advanced Heart Failure Unit, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
Cardiovasc Revasc Med. 2021 Jul;28S:189-192. doi: 10.1016/j.carrev.2020.08.022. Epub 2020 Aug 22.
Left ventricular assist devices (LVAD) are increasingly used in patients with advanced heart failure, and available devices and surgical techniques have strongly evolved over time. Adequate recompensation of patients before surgery is important for optimal surgical outcomes. However, patients with terminal heart failure frequently suffer from cardiorenal syndrome, which complicates recompensation by medical means. Here, we report on the use of an Impella 5.5 microaxial pump for supporting a patient with severely decompensated heart failure before LVAD implantation, which resulted in hemodynamic stabilization and effective recompensation prior to surgery.
左心室辅助装置（LVAD）越来越多地用于晚期心力衰竭患者，随着时间的推移，现有的装置和手术技术有了很大的发展。术前对患者进行充分的代偿对获得最佳手术效果很重要。然而，终末期心力衰竭患者常伴有心肾综合征，这使得通过药物手段进行代偿变得复杂。在此，我们报告了在植入LVAD之前使用Impella 5.5微轴泵来支持一名严重失代偿性心力衰竭患者的情况，该方法在手术前实现了血流动力学稳定和有效的代偿。
