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本文引用的文献

1
Left ventricular perforation after Impella placement.Impella置入术后左心室穿孔。
Catheter Cardiovasc Interv. 2018 Oct 1;92(4):827. doi: 10.1002/ccd.27451. Epub 2017 Dec 27.
2
Left ventricular perforation after Impella® placement in a patient with cardiogenic shock.一名心源性休克患者在植入Impella®后发生左心室穿孔。
Catheter Cardiovasc Interv. 2018 Apr 1;91(5):894-896. doi: 10.1002/ccd.27329. Epub 2017 Sep 25.
3
Letter: Grading of angina pectoris.信函：心绞痛分级
Circulation. 1976 Sep;54(3):522-3.

成功治疗Impella装置植入后发生的左心室穿孔

Successful Treatment of Left Ventricular Perforation Occurring After Insertion of an Impella Device.

作者信息

Glazier James J, Kaki Amir, Baciewicz Frank

机构信息

Division of Cardiology, Wayne State University/Detroit Medical Center, Heart Hospital, Detroit, Michigan.

Division of Cardiothoracic Surgery, Wayne State University, Detroit, Michigan.

出版信息

Int J Angiol. 2020 Sep;29(3):202-204. doi: 10.1055/s-0038-1666971. Epub 2018 Jul 30.

DOI:10.1055/s-0038-1666971
PMID:33746478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7964253/
Abstract

The Impella device is a miniaturized ventricular assist device that is being increasingly used to increase the safety and efficacy of high-risk coronary interventions and to treat patients with acute myocardial infarction complicated by cardiogenic shock. The device has a miniaturized rotary pump mounted on a 9F catheter with a pigtail conformation. The pump draws blood from the left ventricular cavity and expels it into the ascending aorta and systemic circulation. We report a patient who, following insertion of an Impella device, developed angiographically documented left ventricular perforation with marked hemodynamic instability. Our successful management of this patient is described and potential mechanisms responsible for the perforation are discussed.

摘要

Impella装置是一种小型化的心室辅助装置，越来越多地用于提高高危冠状动脉介入治疗的安全性和有效性，以及治疗并发心源性休克的急性心肌梗死患者。该装置有一个安装在呈猪尾形状的9F导管上的小型化旋转泵。该泵从左心室腔抽取血液并将其排入升主动脉和体循环。我们报告了一名患者，在插入Impella装置后，出现了血管造影证实的左心室穿孔并伴有明显的血流动力学不稳定。本文描述了我们对该患者的成功处理过程，并讨论了导致穿孔的潜在机制。