Faculdade de Medicina, Centro Universitário Faculdade das Américas, São Paulo, São Paulo, Brazil.
Hospital Beneficência Portuguesa de São Paulo, São Paulo, São Paulo, Brazil.
Braz J Cardiovasc Surg. 2022 Oct 8;37(5):737-743. doi: 10.21470/1678-9741-2021-0562.
Heart transplantation is the recommended treatment method for patients with advanced heart failure that is refractory to clinical treatment. Due to the progressive severity of these patients and the impossibility of performing the transplant in a short term, there are mechanical circulatory assist devices that can offer necessary hemodynamic support and clinical stability in the period preceding the heart transplant surgery. The present study aims to address and describe the main devices used as bridges for heart transplantation, as well as to analyze their advantages and disadvantages.
This work is a literature review, developed with scientific production in the period from 2010 to 2020, that focus on circulatory assist devices as a bridge for heart transplantation.
These devices are characterized as a bridge for transplantation. Short-term or temporary devices are those used for hemodynamic support to stabilize the individual clinically in the presence of refractory cardiogenic shock. And long-term devices are indicated for stable patients with long-term strategic planning.
According to the present study, it is possible to observe that there is a wide variety of devices available on the market, enabling the most appropriate choice according to the patient's need.
心脏移植是治疗对临床治疗无反应的晚期心力衰竭患者的推荐方法。由于这些患者病情逐渐加重，且无法在短期内进行移植，因此存在机械循环辅助装置，可以在心脏移植手术前提供必要的血液动力学支持和临床稳定性。本研究旨在介绍和描述作为心脏移植桥梁的主要设备，并分析它们的优缺点。
这是一项文献综述，研究时间为 2010 年至 2020 年，重点关注循环辅助装置作为心脏移植的桥梁。
这些设备的特点是作为移植的桥梁。短期或临时装置用于在难治性心源性休克存在的情况下为个体提供血液动力学支持，以稳定其临床状况。而长期装置则适用于有长期战略计划的稳定患者。
根据本研究，可以观察到市场上有各种各样的设备，能够根据患者的需求选择最合适的设备。
