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首页> 外文期刊>Heart failure clinics >Hemodynamic Support with Percutaneous Devices in Patients with Heart Failure
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Hemodynamic Support with Percutaneous Devices in Patients with Heart Failure

机译:心力衰竭患者经皮设备的血流动力学支持

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摘要

The use of surgically implanted durable mechanical circulatory support (MCS) in high-risk patients with heart failure is declining and short-term, nondurable MCS device use is growing. Percutaneously delivered MCS options for advanced heart failure include the intra-aortic balloon pump, Impella axial flow catheter, Tandem-Heart centrifugal pump, and venoarterial extracorporeal membrane oxygenation. Nondurable MCS devices have unique implantation characteristics and hemodynamic effects. Algorithms and guidelines for optimal nondurable MCS device selection do not exist. Emerging technologies and applications will address the need for improved left ventricular unloading using lower-profile devices, longer-term ambulatory support, and the potential for myocardial recovery.
机译:在心力衰竭高危患者中,通过外科手术植入的持久性机械循环支架(MCS)的使用正在减少,短期,不耐用的MCS设备的使用也在增长。对于晚期心力衰竭,经皮输送的MCS选项包括主动脉内球囊泵,Impella轴流导管,Tandem-Heart离心泵和静脉动脉体外膜氧合。非耐用型MCS设备具有独特的植入特性和血液动力学效应。最佳的非持久性MCS设备选择算法和准则不存在。新兴的技术和应用将通过使用小巧的设备,长期的门诊支持以及改善心肌恢复的潜力来满足改善左心室卸载的需求。

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