用于乳头肌破裂情况下术前优化的Impella 5.5
Impella 5.5 for Preoperative Optimization in the Setting of Ruptured Papillary Muscle.
作者信息
Rekhtman David, Iyengar Amit, Han Jason, Shad Rohan, Cevasco Marisa, Szeto Wilson, Ibrahim Michael
机构信息
Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, United States.
出版信息
Thorac Cardiovasc Surg Rep. 2025 May 30;14(1):e14-e16. doi: 10.1055/a-2603-9367. eCollection 2025 Jan.
Abstract
Cardiogenic shock in the setting of a ruptured papillary muscle can be extremely challenging to manage. We report two cases of successful and safe hemodynamic optimization with a modern axial-flow temporary left ventricular assist device, the Impella 5.5, prior to mitral valve replacement for this indication.
摘要
在乳头肌破裂情况下发生的心源性休克，其治疗极具挑战性。我们报告了两例在此指征下，于二尖瓣置换术前使用现代轴流式临时左心室辅助装置Impella 5.5成功且安全地实现血流动力学优化的病例。
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本文引用的文献
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Int J Cardiol. 2024 Feb 1;396:131418. doi: 10.1016/j.ijcard.2023.131418. Epub 2023 Oct 7.
2
One-week Impella CP support for papillary muscle rupture as a bridge to surgery: a case report.使用Impella CP进行为期一周的支持治疗以治疗乳头肌破裂作为手术过渡：一例病例报告。
Eur Heart J Case Rep. 2023 Jul 3;7(7):ytad274. doi: 10.1093/ehjcr/ytad274. eCollection 2023 Jul.
3
Escalation from impella 5.5 to ECPELLA support as a bridge to mitral valve surgery in a patient with degenerative mitral regurgitation.在退行性二尖瓣反流患者中，从 Impella 5.5 升级到 ECPELLA 支持作为二尖瓣手术的桥接。
Perfusion. 2024 Sep;39(6):1277-1279. doi: 10.1177/02676591231186725. Epub 2023 Jun 24.
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Overview of mechanical circulatory support for the management of post-myocardial infarction ventricular septal rupture.心肌梗死后室间隔破裂管理的机械循环支持概述
J Cardiol. 2023 May;81(5):491-497. doi: 10.1016/j.jjcc.2022.12.001. Epub 2022 Dec 8.
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Clin Cardiol. 1985 Feb;8(2):93-103. doi: 10.1002/clc.4960080206.
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