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机械循环支持在特殊情况下的应用。

The application of mechanical circulatory support in special conditions.

作者信息

Scandroglio Anna Mara, Baldetti Luca, Oezkur Mehmet, Mahajna Ahmad, Pieri Marina, Kowalewski Mariusz, Pilarczyk Kevin, Lorusso Roberto

机构信息

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan 20132, Italy.

Cardiac Intensive Care Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, Milan 20132, Italy.

出版信息

Eur Heart J Suppl. 2025 Feb 4;27(Suppl 4):iv62-iv71. doi: 10.1093/eurheartjsupp/suaf006. eCollection 2025 Apr.

Abstract

Special conditions, though not typically associated with cardiovascular distress, may be considered for treatment with temporary mechanical circulatory support (tMCS) devices. Such non-classical examples of cardiovascular compromise include trauma, sepsis, and peri-partum cardiomyopathy, among others, and may require urgent treatment with a tMCS device for haemodynamic stabilization and tentatively saving the patient's life. In this section, examples of the use of tMCS in several special circumstances are presented to garner awareness for such conditions, which have previously been overlooked or even considered contraindications, and highlight the benefit of tMCS devices during treatment of these patients and the need for more research into these circumstances.

摘要

特殊情况,尽管通常与心血管窘迫无关,但可考虑使用临时机械循环支持(tMCS)设备进行治疗。这类非典型的心血管功能不全例子包括创伤、脓毒症和围产期心肌病等,可能需要使用tMCS设备进行紧急治疗以稳定血流动力学并暂时挽救患者生命。在本节中,将介绍tMCS在几种特殊情况下的使用示例,以提高对这些先前被忽视甚至被视为禁忌证的情况的认识,并强调tMCS设备在治疗这些患者过程中的益处以及对这些情况进行更多研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245c/12036518/1a3cfef52741/suaf006f1.jpg

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