在植入Impella之前，对比计算机断层扫描对诊断左心室血栓的效用。
Usefulness of contrast computed tomography for diagnosing left ventricular thrombus before impella insertion.
作者信息
Nakao Yasuhisa, Aono Jun, Namiguchi Kenji, Nishimura Takashi, Izutani Hironori, Higashi Haruhiko, Inaba Shinji, Nishimura Kazuhisa, Inoue Katsuji, Ikeda Shuntaro, Yamaguchi Osamu
机构信息
Department of Cardiology, Pulmonology, Hypertension and Nephrology, Ehime University Graduate School of Medicine, Ehime, Japan.
Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, Ehime, Japan.
出版信息
J Cardiol Cases. 2020 Aug 22;22(6):291-293. doi: 10.1016/j.jccase.2020.07.016. eCollection 2020 Dec.
The Impella (Abiomed, Danvers, MA, USA) is a novel percutaneous heart pump device for left ventricular (LV) assistance; however, LV thrombus is a notable contraindication for this device. Contrast computed tomography assessment is useful for detecting LV thrombus and preventing thromboembolism in patients recommended for Impella use. < The Impella (Abiomed, Danvers, MA, USA) is a heart pump device which aspirates blood from a left ventricular (LV) cavity and ejects it into an ascending aorta. Therefore, LV thrombus should be explored before the Impella insertion to prevent systemic embolism. Generally, echocardiography is the first choice to detect LV thrombus. Given limited diagnostic sensitivity for detecting LV thrombus in echocardiography, contrast computed tomography might be a useful strategy for the patient targeting Impella insertion.>.
Impella（美国马萨诸塞州丹弗斯市的Abiomed公司生产）是一种用于左心室辅助的新型经皮心脏泵设备；然而，左心室血栓是该设备的一个显著禁忌证。对比计算机断层扫描评估对于检测左心室血栓以及预防推荐使用Impella的患者发生血栓栓塞很有用。<Impella（美国马萨诸塞州丹弗斯市的Abiomed公司生产）是一种从左心室腔抽吸血液并将其喷射到升主动脉的心脏泵设备。因此，在插入Impella之前应检查左心室血栓以预防全身栓塞。一般来说，超声心动图是检测左心室血栓的首选方法。鉴于超声心动图检测左心室血栓的诊断敏感性有限，对比计算机断层扫描可能是针对拟插入Impella的患者的一种有用策略。>
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