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心脏手术后心源性休克患者的临时机械循环支持:选择算法与撤机策略

Temporary Mechanical Circulatory Support in Cardiogenic Shock Patients after Cardiac Procedures: Selection Algorithm and Weaning Strategies.

作者信息

Nersesian Gaik, Ott Sascha, Fardman Alexander, Lanmueller Pia, Lewin Daniel, Bernhardt Alexander, Emrich Fabian, Faerber Gloria, Szabó Gábor, Oezkur Mehmet, Panholzer Bernd, Rojas Sebastian V, Saeed Diyar, Schmack Bastian, Warnecke Gregor, Zimpfer Daniel, Grubitzsch Herko, Falk Volkmar, Potapov Evgenij

机构信息

Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité (DHZC), Augustenburger Platz 1, 13353 Berlin, Germany.

German Center for Cardiovascular Research (DZHK), Partner Site Berlin, 10785 Berlin, Germany.

出版信息

Life (Basel). 2023 Oct 12;13(10):2045. doi: 10.3390/life13102045.

Abstract

Mechanical circulatory support has proven effective in managing postcardiotomy cardiogenic shock by stabilizing patients' hemodynamics and ensuring adequate organ perfusion. Among the available device modalities, the combination of extracorporeal life support and a microaxial flow pump for left ventricular unloading has emerged as a valuable tool in the surgical armamentarium. In this publication, we provide recommendations for the application and weaning of temporary mechanical circulatory support in cardiogenic shock patients, derived from a consensus among leading cardiac centers in German-speaking countries.

摘要

机械循环支持已被证明在管理心脏手术后的心源性休克方面是有效的,它能稳定患者的血流动力学并确保足够的器官灌注。在现有的设备模式中,体外生命支持和用于左心室卸载的微轴流泵的组合已成为手术器械库中的一种有价值的工具。在本出版物中,我们提供了关于心源性休克患者临时机械循环支持的应用和撤机的建议,这些建议源自德语国家主要心脏中心的共识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a56/10608612/67e3fdce3eec/life-13-02045-g002.jpg

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