Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Germany.
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Germany DZHK (German Center for Cardiovascular Research), Partner Site Berlin, Germany.
Multimed Man Cardiothorac Surg. 2021 Apr 21;2021. doi: 10.1510/mmcts.2021.026.
Therapy for cardiogenic shock using temporary mechanical circulatory support has improved significantly in the last decades, providing patients with new technologies for both acute phase stabilization and bridging to long-term therapies. A combination of a venoarterial extracorporeal life support system and the Impella left ventricular assist device (known as the ECMELLA approach) represents an effective therapy for severe cardiogenic shock that achieves high-flow circulatory support with simultaneous left-ventricular unloading. We present the new ECMELLA 2.0 concept, whereby a single arterial access technique is used to treat severe cardiogenic shock. The goal of this technique is to reduce access-related complications and make a bedside staged weaning from mechanical support possible.
在过去的几十年中，使用临时机械循环支持治疗心原性休克的方法得到了显著改善，为患者提供了新的技术，用于急性稳定和桥接长期治疗。静脉动脉体外生命支持系统和 Impella 左心室辅助装置（称为 ECMELLA 方法）的组合代表了一种有效的严重心原性休克治疗方法，可实现高流量循环支持和同时左心室卸载。我们提出了新的 ECMELLA 2.0 概念，该概念采用单一动脉入路技术来治疗严重心原性休克。该技术的目标是减少与入路相关的并发症，并使床边逐步脱离机械支持成为可能。
