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高危肺栓塞患者的机械循环支持装置

Mechanical Circulatory Support Devices in Patients with High-Risk Pulmonary Embolism.

作者信息

Ellauzi Rama, Erdem Saliha, Salam Mohammad Fahad, Kumar Ashish, Aggarwal Vikas, Koenig Gerald, Aronow Herbert D, Basir Mir Babar

机构信息

Department of Internal Medicine, Henry Ford Hospital, Detroit, MI 48202, USA.

Department of Internal Medicine, Detroit Medical Center, Wayne State University, Detroit, MI 48202, USA.

出版信息

J Clin Med. 2024 May 28;13(11):3161. doi: 10.3390/jcm13113161.

DOI:10.3390/jcm13113161
PMID:38892871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11172824/
Abstract

Pulmonary embolism (PE) is a common acute cardiovascular condition. Within this review, we discuss the incidence, pathophysiology, and treatment options for patients with high-risk and massive pulmonary embolisms. In particular, we focus on the role of mechanical circulatory support devices and their possible therapeutic benefits in patients who are unresponsive to standard therapeutic options. Moreover, attention is given to device selection criteria, weaning protocols, and complication mitigation strategies. Finally, we underscore the necessity for more comprehensive studies to corroborate the benefits and safety of MCS devices in PE management.

摘要

肺栓塞(PE)是一种常见的急性心血管疾病。在本综述中,我们讨论了高危和大面积肺栓塞患者的发病率、病理生理学及治疗选择。特别地,我们重点关注机械循环支持设备的作用及其在对标准治疗方案无反应的患者中可能的治疗益处。此外,还关注设备选择标准、撤机方案及并发症缓解策略。最后,我们强调需要进行更全面的研究,以证实机械循环支持设备在肺栓塞管理中的益处和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/624d4cfcf190/jcm-13-03161-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/01eb2cbab922/jcm-13-03161-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/f6fb5f063782/jcm-13-03161-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/6abf55693dc0/jcm-13-03161-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/cc896a99795b/jcm-13-03161-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/624d4cfcf190/jcm-13-03161-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/01eb2cbab922/jcm-13-03161-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/f6fb5f063782/jcm-13-03161-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/6abf55693dc0/jcm-13-03161-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/cc896a99795b/jcm-13-03161-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cd8/11172824/624d4cfcf190/jcm-13-03161-g005.jpg

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本文引用的文献

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Outcomes in High-Risk Pulmonary Embolism Patients Undergoing FlowTriever Mechanical Thrombectomy or Other Contemporary Therapies: Results From the FLAME Study.血流导向装置机械血栓切除术或其他当代疗法治疗高危肺栓塞患者的结局:来自 FLAME 研究的结果。
Circ Cardiovasc Interv. 2023 Oct;16(10):e013406. doi: 10.1161/CIRCINTERVENTIONS.123.013406. Epub 2023 Oct 17.
2
Hemodynamic and respiratory support in pulmonary embolism: a narrative review.肺栓塞的血流动力学和呼吸支持:一篇叙述性综述。
Front Med (Lausanne). 2023 Jun 2;10:1123793. doi: 10.3389/fmed.2023.1123793. eCollection 2023.
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Trends in Treatment Patterns and Outcomes of Patients With Pulmonary Embolism in Japan, 2010 to 2020: A Nationwide Inpatient Database Study.
2010 年至 2020 年日本肺栓塞患者的治疗模式和结局趋势:一项全国性住院患者数据库研究。
J Am Heart Assoc. 2023 Jun 20;12(12):e028981. doi: 10.1161/JAHA.122.028981. Epub 2023 Jun 10.
4
Extracorporeal membrane oxygenation for large pulmonary emboli.大型肺栓塞的体外膜肺氧合治疗
Proc (Bayl Univ Med Cent). 2023 Feb 9;36(3):314-317. doi: 10.1080/08998280.2023.2171699. eCollection 2023.
5
Impact of a pulmonary embolism response team initiative on hospital mortality of patients with bilateral pulmonary embolism.肺栓塞反应团队计划对双侧肺栓塞患者的医院死亡率的影响。
Med Clin (Barc). 2023 Jun 9;160(11):469-475. doi: 10.1016/j.medcli.2022.12.017. Epub 2023 Feb 16.
6
Percutaneous oxygenated right ventricular assist device for pulmonary embolism: A case series.经皮氧合右心室辅助装置治疗肺栓塞:病例系列
Artif Organs. 2023 Mar;47(3):595-603. doi: 10.1111/aor.14420. Epub 2022 Oct 20.
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Ultrasound-facilitated, catheter-directed thrombolysis vs anticoagulation alone for acute intermediate-high-risk pulmonary embolism: Rationale and design of the HI-PEITHO study.超声引导下经导管溶栓与单纯抗凝治疗急性中高危肺栓塞的比较:HI-PEITHO 研究的原理和设计。
Am Heart J. 2022 Sep;251:43-53. doi: 10.1016/j.ahj.2022.05.011. Epub 2022 May 16.
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Efficacy and Safety of Veno-Arterial Extracorporeal Membrane Oxygenation in the Treatment of High-Risk Pulmonary Embolism: A Retrospective Cohort Study.静脉-动脉体外膜肺氧合治疗高危肺栓塞的疗效与安全性:一项回顾性队列研究
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