Complications of Continuous-Flow Mechanical Circulatory Support Devices

被引：29

作者：

Patel, Harsh ^{[1
]}

Madanieh, Raef ^{[2
]}

Kosmas, Constantine E. ^{[3
]}

Vatti, Satya K. ^{[2
]}

Vittorio, Timothy J. ^{[2
]}

机构：

[1] SUNY Downstate Sch Med, Dept Internal Med, Brooklyn, NY USA

[2] St Francis Hosp, Ctr Adv Cardiac Therapeut, Roslyn, NY 11576 USA

[3] Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA

来源：

CLINICAL MEDICINE INSIGHTS-CARDIOLOGY | 2015年 / 9卷

关键词：

aortic insufficiency; bleeding; continuous-flow; infection; left ventricular assist device; pulsatile-flow; right ventricular failure; thrombosis; ventricular arrhythmias;

D O I：

10.4137/CMC.S19708

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Left ventricular assist devices (LVADs), more importantly the continuous-flow subclass, have revolutionized the medical field by improving New York Heart Association (NYHA) functional class status, quality of life, and survival rates in patients with advanced systolic heart failure. From the first pulsatile device to modern day continuous-flow devices, LVADs have continued to improve, but they are still associated with several complications. These complications include infection, bleeding, thrombosis, hemolysis, aortic valvular dysfunction, right heart failure, and ventricular arrhythmias. In this article, we aim to review these complications to understand the most appropriate approach for their prevention and to discuss the available therapeutic modalities.

引用

页码：15 / 21

页数：7

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