The Evolution of Mechanical Circulatory Support

被引:7
作者
Kim, Ju H. [1 ]
Cowger, Jennifer A. [2 ]
Shah, Palak [3 ]
机构
[1] Houston Methodist Hosp, Dept Heart Failure & Transplantat, 6565 Fannin St, Houston, TX 77030 USA
[2] Henry Ford Hosp, Sect Heart Failure & Transplantat, 2799 West Grand Blvd, Detroit, MI 48202 USA
[3] Inova Heart & Vasc Inst, Dept Heart Failure & Transplantat, 3300 Gallows Rd, Falls Church, VA 22042 USA
关键词
Ventricular assist device; Heart failure; Cardiac transplantation; Mechanical circulatory support; Total artificial heart; VENTRICULAR ASSIST DEVICE; ADVANCED HEART-FAILURE; TOTAL ARTIFICIAL-HEART; CONTINUOUS-FLOW; CARDIAC TRANSPLANTATION; PUMP; BYPASS; BRIDGE; FOCUS;
D O I
10.1016/j.ccl.2018.06.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The field of mechanical circulatory support (MCS) has evolved from earlier generation pulsatile-flow devices that were primarily used to support critically ill patients in the hospital to newer-generation continuous-flow devices that permit hospital discharge and resumption of normal life activities. The technology is used to bridge transplant-eligible patients and can be used for long-term support of patients who are transplant ineligible. Left ventricular assist devices are proved to improve long-term survival and quality of life for patients with advanced heart failure. Adverse events associated with MCS therapy remain the Achilles heel of the field and strategies to improve biocompatibility are ongoing.
引用
收藏
页码:443 / +
页数:8
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