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儿科心室辅助装置的现状和未来方向。

Current status and future directions in pediatric ventricular assist device.

机构信息

Heart Center and Shanghai Institute of Pediatric Congenital Heart Disease, Shanghai Children's Medical Center, National Children's Medical Center, Shanghai Jiaotong University School of Medicine, No. 1678, Dongfang Rd, Pudong District, Shanghai, 200127, China.

Department of Cardiothoracic Surgery, Shanghai Children's Medical Center, National Children's Medical Center, Shanghai Jiaotong University School of Medicine, No. 1678, Dongfang Rd, Pudong District, Shanghai, 200127, China.

出版信息

Heart Fail Rev. 2024 Jul;29(4):769-784. doi: 10.1007/s10741-024-10396-9. Epub 2024 Mar 26.

Abstract

A ventricular assist device (VAD) is a form of mechanical circulatory support that uses a mechanical pump to partially or fully take over the function of a failed heart. In recent decades, the VAD has become a crucial option in the treatment of end-stage heart failure in adult patients. However, due to the lack of suitable devices and more complicated patient profiles, this therapeutic approach is still not widely used for pediatric populations. This article reviews the clinically available devices, adverse events, and future directions of design and implementation in pediatric VADs.

摘要

心室辅助装置(VAD)是一种机械循环支持形式,它使用机械泵部分或完全替代衰竭心脏的功能。在最近几十年中,VAD 已成为治疗成年患者终末期心力衰竭的重要选择。然而,由于缺乏合适的设备和更复杂的患者特征,这种治疗方法在儿科人群中仍未得到广泛应用。本文综述了儿科 VAD 中临床可用的设备、不良事件以及设计和实施的未来方向。

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