Akhmerov Akbarshakh, Ramzy Danny
Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, 127 S. San Vicente Boulevard, Suite A3105, Los Angeles, CA 90048, USA.
Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, 127 S. San Vicente Boulevard, Suite A3105, Los Angeles, CA 90048, USA.
Interv Cardiol Clin. 2021 Apr;10(2):185-194. doi: 10.1016/j.iccl.2020.12.010.
Right ventricular dysfunction presents unique challenges in patients with cardiopulmonary disease. When optimal medical therapy fails, mechanical circulatory support is considered. Devices can by classified according to whether they are deployed percutaneously or surgically, whether the pump is axial or centrifugal, whether the right ventricle is bypassed directly or indirectly, and whether the support is short term or long term. Each device has advantages and disadvantages. Acute mechanical circulatory support is a suitable temporizing strategy in advanced heart failure. Future research in right ventricular mechanical circulatory support will optimize device management, refine patient selection, and ultimately improve clinical outcomes.
右心室功能障碍给心肺疾病患者带来了独特的挑战。当最佳药物治疗无效时，可考虑使用机械循环支持。设备可根据其是经皮还是通过手术植入、泵是轴流还是离心、右心室是直接还是间接被绕过以及支持是短期还是长期进行分类。每种设备都有优缺点。急性机械循环支持是晚期心力衰竭中一种合适的临时策略。右心室机械循环支持的未来研究将优化设备管理、完善患者选择，并最终改善临床结局。
