成功实施机械取栓术治疗 HeartMate 3 相关颅内血栓栓塞。
Successful Pediatric Mechanical Thrombectomy for HeartMate 3-Related Intracranial Thromboembolism.
机构信息
Department of Critical Care Medicine, 7979The Hospital for Sick Children, Toronto, Canada.
Division of Cardiology, 7979The Hospital for Sick Children, Toronto, Canada.
出版信息
World J Pediatr Congenit Heart Surg. 2022 Mar;13(2):242-244. doi: 10.1177/21501351221075840.
Thromboembolic events post left ventricular assist devices (LVAD) implantation remain a major cause of morbidity and mortality. Mechanical thrombectomy for the treatment of pediatric intracranial thromboembolic events have been reported in LVADs, but never following HeartMate 3 (HM3) implantation. We present the case of an 8-year-old, 26.5 kg male with dilated cardiomyopathy and decompensated heart failure who presented with extensive intracranial thromboembolism in the early postoperative period following HM3 implantation and underwent successful mechanical thrombectomy with a favorable neurological outcome.
左心室辅助装置（LVAD）植入术后的血栓栓塞事件仍然是发病率和死亡率的主要原因。已经有报道称，在 LVAD 中使用机械取栓术治疗小儿颅内血栓栓塞事件，但从未在 HeartMate 3（HM3）植入后进行过报道。我们报告了一例 8 岁、26.5 公斤的男性，患有扩张型心肌病和失代偿性心力衰竭，在 HM3 植入后的早期手术后出现广泛的颅内血栓栓塞，并成功地进行了机械取栓术，神经功能预后良好。
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