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Is it safe to irradiate the newest generation of ventricular assist devices? A case report and systematic literature review

机译：照射最新的心室辅助装置是否可以安全？ 案例报告和系统文献综述

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摘要

Abstract An increasing number of mechanical assist devices, especially left ventricular assist devices (VADs), are being implanted for prolonged periods and as destination therapy. Some VAD patients require radiotherapy due to concomitant oncologic morbidities, including thoracic malignancies. This raises the potential of VAD malfunction via radiation‐induced damage. So far, only case reports and small case series on radiotherapy have been published, most of them on HeartMate II (HMII, Abbott, North Chicago, IL, USA). Significantly, the effects of irradiation on the HeartMate 3 (HM3, Abbott) remain undefined, despite the presence of controller components engineered within the pump itself. We report the first case of a patient with a HM3 who successfully underwent stereotactic hypofractionated radiotherapy due to an early‐stage non‐small‐cell lung cancer. The patient did not suffer from any complications, including toxicity or VAD malfunction. Based on this case report and on published literature, we think that performing radiotherapy after VAD implantation with the aid of a multidisciplinary team could be performed, but more in vitro studies?and cases series are needed to reinforce this statement.
机译：摘要越来越多的机械辅助装置，尤其是左心室辅助装置（VADS），延长时期并作为目的地疗法。一些VAD患者由于伴随的肿瘤病症而要求放疗，包括胸部恶性肿瘤。这通过辐射引起的损伤引发了VAD故障的潜力。到目前为止，只有案例报告和放射疗法的小案例系列已发布，其中大部分是Heartmate II（HMII，Abbott，North Chicago，IL，USA）。值得注意的是，尽管存在在泵本身内部设有控制器部件，但辐照对心脏3（HM3，ABBOTT）的影响仍然是未定义的。我们通过早期非小细胞肺癌成功接受了立体定向脓性放射治疗的HM3的患者的第一种情况。患者没有患有任何并发​​症，包括毒性或VAD故障。基于本案报告和发表文献，我们认为在VAD植入借助于多学科团队后进行放疗，但更多的体外研究？以及案例系列需要加强这一陈述。

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  • 来源
    《Artificial Organs》 |2020年第5期|共8页
  • 作者

    Spano Giancarlo; Stutz Emanuel; Elicin Olgun; Hugi Beate; Henzen Dominik; Fürholz Monika; Wieser Monika; Rhyner Daniel; Dobner Stephan; Pavlicek‐Bahlo Maryam; Robson Desiree; Nadel James; Hayward Christopher; Hunziker Lukas; Martinelli Michele; Schnegg Bruno;

  • 作者单位

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

    Department of Radiation OncologyInselspital Bern University Hospital University of BernBern;

    Department of Radiation OncologyInselspital Bern University Hospital University of BernBern;

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

    Department of Radiation OncologyInselspital Bern University Hospital University of BernBern;

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

    Heart Failure and Transplant UnitSt. Vincent's HospitalSydney New South Wales Australia;

    Heart Failure and Transplant UnitSt. Vincent's HospitalSydney New South Wales Australia;

    Heart Failure and Transplant UnitSt. Vincent's HospitalSydney New South Wales Australia;

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

    Center for Advanced Heart Failure Department of CardiologyInselspital Bern University Hospital;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 器官移植术;
  • 关键词

    HeartMate 3; non‐small‐cell lung cancer; radiotherapy; ventricular assist device;

    机译：Heartmate 3;非小细胞肺癌;放射疗法;室心辅助装置;

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