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长期静脉-动脉体外膜肺氧合作为心肺移植的过渡手段

Long-term veno-arterial extracorporeal membrane oxygenation as a bridge to heart-lung transplant.

作者信息

Trezzi Matteo, Brancaccio Gianluca, Giorni Chiara, Ricci Zaccaria, Iacobelli Roberta, di Chiara Luca, Amodeo Antonio

机构信息

Departments of Pediatric Cardiology and Cardiac Surgery, Bambino Gesú Children's Hospital IRCCS, Rome, Italy.

The Pediatric Intensive Care Unit, Bambino Gesú Children's Hospital IRCCS, Rome, Italy.

出版信息

J Card Surg. 2021 Mar;36(3):798-799. doi: 10.1111/jocs.15369. Epub 2021 Jan 27.

DOI:10.1111/jocs.15369
PMID:33503686
Abstract

En bloc heart-lung transplantation still represents definitive therapy for end-stage cardiopulmonary failure. However, patients may critically decompensate while awaiting suitable donor organs and necessitate veno-arterial extracorporeal membrane oxygenation. In this article, we describe the combined use of central cannulation with the Berlin Heart EXCOR ventricular assist device cannulae and the CentriMag centrifugal pump as an extended bridge to heart-lung transplantation in three pediatric patients.

摘要

整块心肺移植仍然是终末期心肺衰竭的确定性治疗方法。然而,患者在等待合适的供体器官时可能会发生严重失代偿,需要进行静脉-动脉体外膜肺氧合。在本文中,我们描述了在三名儿科患者中联合使用中心插管与柏林心脏EXCOR心室辅助装置插管以及CentriMag离心泵作为心肺移植的扩展过渡手段。

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Long-term veno-arterial extracorporeal membrane oxygenation as a bridge to heart-lung transplant.长期静脉-动脉体外膜肺氧合作为心肺移植的过渡手段
J Card Surg. 2021 Mar;36(3):798-799. doi: 10.1111/jocs.15369. Epub 2021 Jan 27.
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Ventricular assist device application with the intermediate use of a membrane oxygenator as a bridge to pediatric heart transplantation.心室辅助装置的应用,中间使用膜式氧合器作为小儿心脏移植的桥梁。
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Long term CentriMag biventricular support using hybrid cannulation as a bridge to transplant in a pediatric patient.儿童患者应用杂交插管行长期 CentriMag 双心室辅助以桥接移植。
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Use of Berlin EXCOR cannulas in both venovenous and venoarterial central extracorporeal membrane oxygenation configurations overcomes the problem of cannula instability while bridging infants and young children to lung transplant.在静脉-静脉和静脉-动脉中心体外膜肺氧合配置中使用柏林EXCOR插管,可解决插管不稳定问题,同时为婴幼儿进行肺移植提供过渡支持。
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Post-transplant outcomes of children bridged to transplant with the Berlin Heart EXCOR Pediatric ventricular assist device.儿童在接受柏林心脏 EXCOR 儿科心室辅助装置桥接移植后的转归。
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