Current indication and practical management of percutaneous left ventricular assist device support therapy in Japan

被引：32

作者：

Nakamura, Makiko ^{[1
]}

Imamura, Teruhiko ^{[1
]}

Ueno, Hiroshi ^{[1
]}

Kinugawa, Koichiro ^{[1
]}

机构：

[1] Univ Toyama, Dept Internal Med 2, 2630 Sugitani, Toyama, Toyama 9300194, Japan

来源：

JOURNAL OF CARDIOLOGY | 2020年 / 75卷 / 03期

关键词：

Cardiogenic shock; Mechanical unloading; Bridge to recovery; Bridge to decision; CARDIOGENIC-SHOCK; MYOCARDIAL-INFARCTION; CIRCULATORY SUPPORT; IMPELLA RECOVER; SEPTAL-DEFECT; HEMOLYSIS; OUTCOMES; SAFETY; TRIAL;

D O I：

10.1016/j.jjcc.2019.12.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Impella (Abiomed, Danvers, MA, USA) is a recently-innovated (commercially available from 2017 in Japan) percutaneous left ventricular assist device which is inserted percutaneously and transfers blood from the left ventricle to the ascending aorta, improving systemic circulation and end-organ dysfunction as well as unloading left ventricle in patients with cardiogenic shock. Impella has not yet shown a significant survival benefit in patients with cardiogenic shock compared to intra-aortic balloon pump in randomized control trials, but gives powerful circulatory support immediately with minimally invasive manner when used in appropriate patients at optimal timing with adequate management. In this review article, we will introduce and discuss optimal and practical management of Impella therapy in Japan. (C) 2019 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

引用

页码：228 / 232

页数：5

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