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首页> 外文期刊>ESC Heart Failure >Full percutaneous biventricular support with two Impella pumps: the Bi‐Pella approach
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Full percutaneous biventricular support with two Impella pumps: the Bi‐Pella approach

机译：带有两个Impella泵的完全经皮双心室支持：Bi-Pella方法

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Extracorporeal membrane oxygenation is used for acute respiratory distress syndrome, refractory cardiogenic shock, and out‐of‐hospital cardiac arrest with uncertain neurological status, and, until recently, it was the only minimally invasive option to achieve biventricular support. However, extracorporeal membrane oxygenation increases left ventricular afterload and requires systemic anticoagulation, which is a major contraindication in the context of thrombolytic therapy following an ischaemic stroke. Conversely, the Impella heart pumps by design unload the ventricle and require minimal anticoagulation. We report the first case of mechanical circulatory supported with Impella CP on the left and Impella RP on the right (Abiomed Inc., Danvers, MA) for acute biventricular failure due to suspected acute myocarditis in the context of thrombolytic therapy for ischaemic stroke.
机译：体外膜充氧用于急性呼吸窘迫综合征，难治性心源性休克和具有不确定神经系统状态的院外心脏骤停，并且直到最近，它还是获得双心室支持的唯一微创治疗方案。但是，体外膜氧合增加左心室后负荷，需要全身抗凝，这是缺血性卒中后溶栓治疗的主要禁忌症。相反，Impella心脏泵经设计可减轻心室负荷，并需要最少的抗凝作用。我们报告了第一例机械循环受左Impella CP和右Impella RP（Abiomed Inc.，Danvers，MA）支持的可疑急性心肌炎在缺血性脑卒中溶栓治疗的情况下急性心室衰竭的病例。

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