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Matters to address prior to introducing new life support technology in Japan: three serious ethical concerns related to the use of left ventricular assist devices as destination therapy and suggested policies to deal with them

机译：在日本引入新的生命支持技术之前要解决的问题：与使用左心室辅助设备作为目的地疗法有关的三个严重的伦理问题以及针对这些问题的建议政策

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BackgroundDestination therapy (DT) is the permanent implantation of a left ventricular assist device (LVAD) in patients with end-stage, severe heart failure who are ineligible for heart transplantation. DT improves both the quality of life and prognosis of patients with end-stage heart failure. However, there are also downsides to DT such as life-threatening complications and the potential for the patient to live beyond their desired length of life following such major complications. Because of deeply ingrained cultural and religious beliefs regarding death and the sanctity of life, Japanese society may not be ready to make changes needed to enable patients to have LVADs deactivated under certain circumstances to avoid needless suffering.

机译：背景目的地疗法（DT）是永久性植入左心室辅助设备（LVAD）的晚期，严重心力衰竭患者，不适合进行心脏移植。 DT可改善终末期心力衰竭患者的生活质量和预后。但是，DT还存在一些不利因素，例如危及生命的并发症以及患者在发生此类重大并发症后可能会超出其预期的寿命。由于关于死亡和生命神圣性的根深蒂固的文化和宗教信仰，日本社会可能未准备好进行必要的更改，以使患者在某些情况下可以停用LVAD，从而避免不必要的痛苦。

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期刊名称 BMC Medical Ethics
作者
Atsushi Asai; Sakiko Masaki; Taketoshi Okita; Aya Enzo; Yasuhiro Kadooka;
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作者单位

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年(卷),期 2018(19),-1
年度 2018
页码 12
总页数 8
原文格式 PDF
正文语种
中图分类病理学;
关键词
Japan Destination therapy LVAD deactivation Advance directives Advance care planning Super-aging society Culture;

机译：日本;目的地疗法;LVAD停用;预先指示;预先护理计划;超级老龄化社会;文化;

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1. Matters to address prior to introducing new life support technology in Japan: three serious ethical concerns related to the use of left ventricular assist devices as destination therapy and suggested policies to deal with them [J] . Atsushi Asai, Sakiko Masaki, Taketoshi Okita, BMC Medical Ethics . 2018,第1期

机译：在日本引入新的生命支持技术之前要解决的问题：与使用左心室辅助设备作为目的地疗法有关的三个严重的伦理问题，以及针对这些问题的建议政策
2. Novel Scoring System to Predict Ineligibility for Bridge to Implantable Left Ventricular Assist Device as Destination Therapy Before Extracorporeal Ventricular Assist Device Implantation - For the Coming Era of Destination Therapy in Japan [J] . Nitta Daisuke, Kinugawa Koichiro, Imamura Teruhiko, Circulation journal . 2016,第2期

机译：新颖的评分系统，可预测在植入体外室辅助设备之前是否适合将桥连接到植入式左室辅助设备作为目的地治疗方法-针对日本目的地治疗时代的来临
3. Novel Scoring System to Predict Ineligibility for Bridge to Implantable Left Ventricular Assist Device as Destination Therapy Before Extracorporeal Ventricular Assist Device Implantation　– For the Coming Era of Destination Therapy in Japan – [J] . Daisuke Nitta, Koichiro Kinugawa, Teruhiko Imamura, Circulation journal . 2016,第2期

机译：新型评分系统，可预测在植入体外左室辅助装置之前是否适合将桥植入左室辅助装置作为目的地治疗–针对日本目的地治疗时代的到来–
4. Left ventricular assist devices for destination therapy in end-stage heart failure: the REMATCH trial [C] . Farrar, D.J. . 2002

机译：终末期心力衰竭用于目的地治疗的左心室辅助设备：REMATCH试验
5. Informed Consent in the Context of Left Ventricular Assist Device Use as Destination Therapy (LVAD-DT): A Systematic Review and Ethical Analysis [D] . Friedman, James. 2020

机译：在左心室辅助装置的背景下的知情同意用作目的地治疗（LVAD-DT）：系统审查和道德分析
6. Left Ventricular Assist Devices for Destination Therapy: A Health Technology Assessment [O] . Kristen McMartin, Amar Chadee, Caroline Higgins, -1

机译：左心室辅助装置用于目的地治疗：一项健康技术评估
7. Matters to address prior to introducing new life support technology in Japan: three serious ethical concerns related to the use of left ventricular assist devices as destination therapy and suggested policies to deal with them [O] . Atsushi Asai, Sakiko Masaki, Taketoshi Okita, 2018

机译：在在日本引入新的寿命支持技术之前，解决了以下三种严重的道德问题，与使用左心室辅助装置作为目的地治疗和建议的政策处理它们

Matters to address prior to introducing new life support technology in Japan: three serious ethical concerns related to the use of left ventricular assist devices as destination therapy and suggested policies to deal with them

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