Clinical Professor, Department of Anesthesiology, Perioperative and Pain medicine, Stanford University, Palo Alto, CA 94305.
Associate Physician, Cardiac Anesthesiology and Critical Care, Kaiser Permanente, Santa Clara, CA.
J Cardiothorac Vasc Anesth. 2022 Jul;36(7):2114-2131. doi: 10.1053/j.jvca.2021.09.031. Epub 2021 Sep 28.
Heart failure is an important cause of mortality and morbidity in the world. Changes in organ allocation for solid thoracic (lung and heart) transplantation has increased the number of patients on mechanical circulatory support. Temporary mechanical support devices include devices tht support the circulation directly or indirectly such as extracorporeal membrane oxygenation (ECMO) and temporary support for right-sided failure, left-sided failure or biventricular failure. Most often, these devices are placed percutaneously and require either guidance with echocardiography, continuous radiography (fluoroscopy) or both. Furthermore, these devices need imaging in the intensive care unit to confirm continued accurate placement. This review contains the imaging views and nuances of the temporary assist devices (including ECMO) at the time of placement and the complications that can be associated with each individual device.
心力衰竭是世界范围内导致死亡和发病的重要原因。实体胸部(肺和心脏)移植器官分配的改变增加了接受机械循环支持的患者数量。临时机械支持设备包括直接或间接支持循环的设备,例如体外膜氧合(ECMO)和右侧衰竭、左侧衰竭或双心室衰竭的临时支持。这些设备通常经皮放置,需要超声心动图或连续射线照相(透视)或两者的引导。此外,这些设备需要在重症监护病房进行影像学检查以确认持续准确的放置。本综述包含了放置临时辅助设备(包括 ECMO)时的影像学视图和细微差别,以及与每个单独设备相关的并发症。