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体内(腹腔内)左心室辅助装置或部分人工心脏:五年临床经验。

Intracorporeal (abdominal) left ventricular assist devices or partial artificial hearts: A five-year clinical experience.

作者信息

Norman J C, Duncan J M, Frazier O H, Hallman G L, Ott D A, Reul G J, Cooley D A

出版信息

Arch Surg. 1981 Nov;116(11):1441-5. doi: 10.1001/archsurg.1981.01380230059009.

DOI:10.1001/archsurg.1981.01380230059009
PMID:7305657
Abstract

An intracorporeal (abdominal) left ventricular assist device (ALVAD) or partial artificial heart was designed, developed, extensively tested in vitro and in vivo, and subsequently approved for controlled clinical trials in institutions. The ALVAD is pneumatically actuated, synchronously or asynchronously, with an external console and is interposed between the apex of the left ventricle and infrarenal abdominal aorta. The implantation techniques are straightforward and replicable. The ALVAD was used in weaning from cardiopulmonary bypass to support the circulation in cardiogenic shock after infarction and as a bridge to cardiac transplantation. It was found that the profoundly depressed human left (and right) ventricles initially incapable of ejection can recover if totally supported with this device. This experience strongly suggests that ALVADs should be used early in instances of intra-aortic balloon pump inadequacy.

摘要

设计、研发了一种体内(腹腔)左心室辅助装置(ALVAD)或部分人工心脏,并在体外和体内进行了广泛测试,随后获批在机构内进行对照临床试验。ALVAD通过外部控制台以气动方式驱动,可同步或异步驱动,置于左心室心尖和肾下腹主动脉之间。植入技术简单且可重复。ALVAD用于在心脏搭桥术后脱离体外循环,以支持梗死性心源性休克中的循环,并作为心脏移植的桥梁。研究发现,如果用该装置完全支持,最初无法射血的严重衰竭的人左(和右)心室可以恢复。这一经验强烈表明,在主动脉内球囊反搏不足的情况下应尽早使用ALVAD。

相似文献

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Intracorporeal (abdominal) left ventricular assist devices or partial artificial hearts: A five-year clinical experience.体内(腹腔内)左心室辅助装置或部分人工心脏:五年临床经验。
Arch Surg. 1981 Nov;116(11):1441-5. doi: 10.1001/archsurg.1981.01380230059009.
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CLINICAL TRIALS OF THE ABDOMINAL LEFT VENTRICULAR ASSIST DEVICE (ALVAD): PROGRESS REPORT.腹部左心室辅助装置(ALVAD)的临床试验:进展报告。
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An intracorporeal (abdominal) left ventricular assist device. Initial clinical trials.一种体内(腹腔内)左心室辅助装置。初步临床试验。
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Seven years' experience with the Pierce-Donachy ventricular assist device.使用皮尔斯-多纳希心室辅助装置的七年经验。
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Open-heart surgery at the Texas Heart Institute: the first 50,000 operations.德克萨斯心脏研究所的心脏直视手术:前50000例手术
Tex Heart Inst J. 1983 Jun;10(2):107-13.
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Concepts in assisted circulation.辅助循环的概念。
Tex Heart Inst J. 1986 Mar;13(1):23-37.
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Simulation study of the Hemopump as a cardiac assist device.
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Current methods for circulatory support.循环支持的当前方法。
Tex Heart Inst J. 1994;21(4):288-95.
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