共 6 条
Left Ventricular Decompression During Peripheral Extracorporeal Membrane Oxygenation Support With the Use of the Novel iVAC Pulsatile Paracorporeal Assist Device
被引:14
作者:
Anastasiadis, Kyriakos
[1
]
Chalvatzoulis, Omiros
[1
]
Antonitsis, Polychronis
[1
]
Tossios, Paschalis
[1
]
Papakonstantinou, Christos
[1
]
机构:
[1] Aristotle Univ Thessaloniki, Dept Cardiothorac Surg, AHEPA Hosp, GR-54006 Thessaloniki, Greece
关键词:
BYPASS GRAFT-SURGERY;
PUMP;
D O I:
10.1016/j.athoracsur.2011.05.063
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Extracorporeal membrane oxygenation (ECMO) has become a widely accepted short-term mechanical circulatory support device in patients with refractory cardiogenic shock. A major drawback of the peripheral venoarterial extracorporeal membrane oxygenation is that in patients with profoundly reduced left ventricular contractility associated with high left-heart filling pressure, there is always concern for venting the failing ventricle. We describe a minimally invasive technique for decompressing the left ventricle in this setting using a novel pulsatile paracorporeal assist device, the iVAC 3L (PulseCath, Groningen, The Netherlands). It is implanted through the right axillary artery and provides hemodynamic support while directly off-loading the left ventricle. (Ann Thorac Surg 2011; 92:2257-9) (C) 2011 by The Society of Thoracic Surgeons
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页码:2257 / 2259
页数:4
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