Multimodal mechanical circulatory assist for perioperative biventricular failure

Sugimura Yukiharu; Mehdiani Arash; Aubin Hug; Rellecke Philipp; Boeken Udo; Lichtenberg Artur; Akhyari Payam

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Multimodal mechanical circulatory assist for perioperative biventricular failure

机译：多峰机械循环辅助围手术期生命障碍

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A 61-year-old woman with acute myocardial infarction (MI), cardiogenic shock, and Impella CP support underwent emergency coronary artery bypass grafting. Postoperatively venous-arterial extracorporeal membrane oxygenation (va-ECMO) became necessary, followed by Impella 5.0 insertion on 7th postoperative day (POD), the addition of right ventricular support by TandemHeart due to inadequate flow of Impella system, which then allowed for va-ECMO weaning. Impella und TandemHeart were removed on 14th POD, 31st POD, respectively. Biventricular decompensation following MI was successfully treated by a sequence of different mechanical circulatory support systems allowing an adaptive weaning strategy.

机译：一名61岁女性，患有急性心肌梗死（MI）、心源性休克和Provela CP支持，接受了紧急冠状动脉旁路移植术。术后静脉动脉体外膜肺氧合（VA ECMO）成为必要，其次是Ipulle 5插入术后第七天（POD），由于右心室流入不全而导致心脏右心室支持增加，这就允许VA ECMO断奶。分别在第14和31荚移除Pumpella和TandemHeart。通过一系列不同的机械循环支持系统成功地治疗了心肌梗死后的双心室失代偿，允许采用适应性断奶策略。

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来源
《Journal of cardiac surgery.》 |2021年第2期|共4页
作者
Sugimura Yukiharu; Mehdiani Arash; Aubin Hug; Rellecke Philipp; Boeken Udo; Lichtenberg Artur; Akhyari Payam;
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作者单位

Heinrich Heine Univ Med Fac Dept Cardiac Surg Moorenstr 5 D-40225 Dusseldorf Germany;

Heinrich Heine Univ Med Fac Dept Cardiac Surg Moorenstr 5 D-40225 Dusseldorf Germany;

Heinrich Heine Univ Med Fac Dept Cardiac Surg Moorenstr 5 D-40225 Dusseldorf Germany;

Heinrich Heine Univ Med Fac Dept Cardiac Surg Moorenstr 5 D-40225 Dusseldorf Germany;

Heinrich Heine Univ Med Fac Dept Cardiac Surg Moorenstr 5 D-40225 Dusseldorf Germany;

Heinrich Heine Univ Med Fac Dept Cardiac Surg Moorenstr 5 D-40225 Dusseldorf Germany;

Heinrich Heine Univ Med Fac Dept Cardiac Surg Moorenstr 5 D-40225 Dusseldorf Germany;

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原文格式 PDF
正文语种 eng
中图分类心脏血管和淋巴系外科学;
关键词
cardiogenic shock; extracorporeal membrane oxygenation; Impella; multimodal mechanical circulatory assist; Tandemheart;

机译：心绞痛;体外膜氧合;偶像;多式式机械循环辅助;TANDEMHEART;

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1. Is hydrotherapy an appropriate form of exercise for elderly patients with biventricular systolic heart failure? [J] . Bente Grüer Sve(a)v1, Margareta Scharin T(a)ng, (A)sa Cider 老年心脏病学杂志（英文版） . 2012,第004期
2. Early planned institution of biventricular mechanical circulatory support results in improved outcomes compared with delayed conversion of a left ventricular assist device to a biventricular assist device [J] . J. Raymond Fitzpatrick, John R. Frederick, William Hiesinger, The journal of thoracic and cardiovascular surgery . 2009,第4期

机译：与延迟将左心室辅助设备转换为双心室辅助设备相比，早期计划的双心室机械循环支持机制可改善预后
3. Early planned institution of biventricular mechanical circulatory support results in improved outcomes compared with delayed conversion of a left ventricular assist device to a biventricular assist device. [J] . Fitzpatrick-JR 3rd, Frederick JR, Hiesinger W, The Journal of Thoracic and Cardiovascular Surgery . 2009,第4期

机译：与左心室辅助设备向双心室辅助设备的延迟转换相比，早期计划的双心室机械循环支持机制可改善预后。
4. Survival after biventricular assist device implantation: an analysis of the Interagency Registry for Mechanically Assisted Circulatory Support database. [J] . Cleveland JC Jr, Naftel DC, Reece TB, The Journal of heart and lung transplantation: the official publication of the International Society for Heart Transplantation . 2011,第8期

机译：双心室辅助装置植入后的存活：机械辅助循环支持数据库跨机构注册中心的分析。
5. Effect of mechanical circulatory support in the heart failure patient with left-right heart failure condition: A simulation study [C] . Naiyanetr Phornphop The 5th Biomedical Engineering International Conference. . 2012

机译：机械循环支持对左右心衰患者心力衰竭的影响：模拟研究
6. Risk Stratification in Patients with Advanced Heart Failure Requiring Biventricular Assist Device Support as a Bridge to Cardiac Transplantation. [D] . Cheng, Richard Kar-Hang. 2012

机译：需要心室辅助设备支持作为心脏移植的桥梁的晚期心力衰竭患者的风险分层。
7. Complete mechanical circulatory support using ventricular assist devices for post-cardiotomy biventricular failure [O] . Nnamdi Nwaejike, Pramod Bonde, Gianfranco Campalani 2008

机译：使用心室辅助设备的完整机械循环支持可用于心脏切开术后双室衰竭
8. Multimodal mechanical circulatory assist for perioperative biventricular failure [O] . Yukiharu Sugimura, Arash Mehdiani, Hug Aubin, 2020

机译：多峰机械循环辅助围手术期生命障碍
9. The Physiologic Effects of Circulatory Assist Devices. I. Avco-Everett Mechanical Auxiliary Ventricle [R] . Kennedy, J. H. 1968

机译：循环辅助装置的生理效应。 I.avco-Everett机械辅助心室

Multimodal mechanical circulatory assist for perioperative biventricular failure

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