双心室辅助期间诊断性腹腔镜检查的安全应用

Safe application of diagnostic laparoscopy during biventricular assistance.

作者信息

Prendergast T W, Ortega A E, Starnes V A, Klein T M, Barr M L

机构信息

Department of Surgery, University of Southern California, Los Angeles 90033-4612, USA.

出版信息

Ann Thorac Surg. 1996 Feb;61(2):735-7. doi: 10.1016/0003-4975(95)00862-4.

DOI:10.1016/0003-4975(95)00862-4

PMID:8572806

Abstract

We performed diagnostic laparoscopy in a patient who was critically unstable while on an ABIOMED BVS 5000 biventricular assist system. A relatively unique feature of the ABIOMED is the venous return being dependent only on gravity and the drawing force of venous return being the height of the inflow cannula compared with the level of the ABIOMED blood pump assembly; this did not preclude the use of pneumoperitoneum necessary for laparoscopy. The safe application of diagnostic laparoscopy in patients on a ventricular assist device is of importance in an era of increasing use of these devices and the increased potential for intraabdominal complications in this population.

摘要

我们对一名在使用ABIOMED BVS 5000双心室辅助系统时病情极其不稳定的患者进行了诊断性腹腔镜检查。ABIOMED的一个相对独特的特点是静脉回流仅依赖重力，静脉回流的牵引力量是流入套管相对于ABIOMED血泵组件水平的高度；这并不妨碍使用腹腔镜检查所需的气腹。在心室辅助装置使用日益增加以及该人群腹腔内并发症潜在风险增加的时代，在使用心室辅助装置的患者中安全应用诊断性腹腔镜检查具有重要意义。