Upadhyay Rani, Alrayes Hussayn, Arno Scott, Kaushik Milan, Basir Mir B
Section of Interventional Cardiology, Stanford Health Care Oakland, CA.
Division of Cardiology, Henry Ford Hospital Detroit, MI.
US Cardiol. 2021 Nov 2;15:e21. doi: 10.15420/usc.2021.15. eCollection 2021.
Mechanical circulatory support devices provide hemodynamic support to patients who present with cardiogenic shock. These devices work using different mechanisms to provide univentricular or biventricular support. There is a growing body of evidence supporting use of these devices as a goal for cardiac recovery or as a bridge to definitive therapy, but definitive, well-powered studies are still needed. Mechanical circulatory support devices are increasingly used using shock team and protocols, which can help clinicians in decision making, balancing operator and institutional experience and expertise. The aim of this article is to review commercially available mechanical circulatory support devices, their profiles and mechanisms of action, and the evidence available regarding their use.
机械循环支持设备为出现心源性休克的患者提供血流动力学支持。这些设备通过不同机制工作,以提供单心室或双心室支持。越来越多的证据支持将这些设备用作心脏恢复的目标或作为确定性治疗的桥梁,但仍需要确凿的、有力的研究。机械循环支持设备越来越多地通过休克治疗团队和方案来使用,这有助于临床医生进行决策,平衡操作者和机构的经验及专业知识。本文的目的是回顾市售的机械循环支持设备、它们的特点和作用机制,以及有关其使用的现有证据。