Cameli Matteo, Pastore Maria Concetta, Agricola Eustachio, Piccione Maurizio Cusmà, De Luca Antonio, Manganaro Roberta, Carerj Scipione, Moreo Antonella, Zito Concetta, Becherini Francesco, Pepi Mauro
Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy.
Unit of Cardiovascular Imaging, IRCCS San Raffaele Hospital, Milano, Italy.
J Cardiovasc Echogr. 2025 Jan-Mar;35(1):91-96. doi: 10.4103/jcecho.jcecho_12_25. Epub 2025 Apr 30.
Accurate selection of patients referred for LVADs is essential to prevent peri- and postoperative complicationsEchocardiography is the first line imaging modality for the evaluation of LVAD candidatesStudy of RV geometry and function is mandatory to detect subclinical RV dysfunction which could cause RV failure after-LVAD implantation, a frequent and potentially life-threatening complicationSevere valvular heart disease, ascendant aorta and possible intracardiac thrombi or shunts should be carefully evaluated, since these may represent some limit to LVAD implantation.
准确选择接受左心室辅助装置（LVAD）治疗的患者对于预防围手术期及术后并发症至关重要。超声心动图是评估LVAD候选者的一线成像方式。研究右心室几何形态和功能对于检测亚临床右心室功能障碍必不可少，这种功能障碍可能导致LVAD植入后右心室衰竭，这是一种常见且可能危及生命的并发症。严重瓣膜性心脏病、升主动脉以及可能存在的心内血栓或分流应仔细评估，因为这些可能对LVAD植入构成一定限制。
