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延长体外膜肺氧合支持作为心脏移植的桥梁

Prolonged Extracorporeal Membrane Oxygenation Support as a Bridge to Heart Transplant.

作者信息

Sert Dogan Emre, Kervan Umit, Kocabeyoglu Sinan Sabit, Karahan Mehmet, San Ishak, Bekgoz Burak, Ozatik Ali

机构信息

From the Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.

出版信息

Exp Clin Transplant. 2022 Apr;20(4):436-439. doi: 10.6002/ect.2020.0159. Epub 2020 Sep 17.

Abstract

Heart transplant is in high demand, but the wait list exceeds 6 months in Turkey. Until a donor heart can be procured, venoarterial extracorporeal membrane oxygenation is an important support option to bridge patients on the wait list or as a rescue therapy for patients with right ventricular failure after implant of left ventricular assist device; it is less expensive than other options, provides benefits such as simple percutaneous insertion, and requires neither sternotomy nor biventricular and respiratory support. We present a case of a patient bridged to transplant with 5 months of extracorporeal membrane oxygenation support.

摘要

心脏移植的需求很高,但在土耳其,等待名单超过了6个月。在获得供体心脏之前,静脉-动脉体外膜肺氧合是一种重要的支持选择,可用于帮助等待名单上的患者过渡,或作为植入左心室辅助装置后右心室衰竭患者的抢救治疗;它比其他选择成本更低,具有经皮插入简单等优点,既不需要开胸手术,也不需要双心室和呼吸支持。我们报告一例接受了5个月体外膜肺氧合支持后过渡到移植的患者病例。

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