Medical and Mechanical Circulatory Support of the Failing Right Ventricle

被引：5

作者：

Yuriditsky, Eugene ^{[1
]}

Chonde, Meshe ^{[2
]}

Friedman, Oren ^{[3
]}

Horowitz, James M. ^{[1
]}

机构：

[1] NYU Langone Hlth, Dept Med, Div Cardiol, 530 First Ave,Skirball 9R, New York, NY 10016 USA

[2] Smidt Heart Inst, Cedars Sinai Med Ctr, Dept Cardiac Surg, Los Angeles, CA USA

[3] Cedars Sinai Med Ctr, Dept Med, Div Pulm & Crit Care Med, Los Angeles, CA USA

来源：

CURRENT CARDIOLOGY REPORTS | 2024年 / 26卷 / 02期

关键词：

Acute right ventricular failure; Mechanical circulatory support; Right ventricular assist device; EXTRACORPOREAL MEMBRANE-OXYGENATION; MASSIVE PULMONARY-EMBOLISM; RIGHT HEART-FAILURE; ASSIST DEVICE; MANAGEMENT; NOREPINEPHRINE; DYSFUNCTION; OUTCOMES;

D O I：

10.1007/s11886-023-02012-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of ReviewTo describe medical therapies and mechanical circulatory support devices used in the treatment of acute right ventricular failure.Recent FindingsExperts have proposed several algorithms providing a stepwise approach to medical optimization of acute right ventricular failure including tailored volume administration, ideal vasopressor selection to support coronary perfusion, inotropes to restore contractility, and pulmonary vasodilators to improve afterload. Studies have investigated various percutaneous and surgically implanted right ventricular assist devices in several clinical settings.SummaryThe initial management of acute right ventricular failure is often guided by invasive hemodynamic data tracking parameters of circulatory function with the use of pharmacologic therapies. Percutaneous microaxial and centrifugal extracorporeal pumps bypass the failing RV and support circulatory function in severe cases of right ventricular failure.

引用

页码：23 / 34

页数：12

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