期刊文献

Left ventricular unloading during veno-arterial ECMO: a review of percutaneous and surgical unloading interventions 收藏

静脉 - 动脉ECMO期间的左心室卸载：经皮和手术卸载干预的综述

原文求助发布源

作者

Dirk W. Donker[1]; Daniel Brodie[2]; José P.S. Henriques[3]; Michael Broomé[4][5][6]

作者单位

[1]Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands [2]Division of Pulmonary, Allergy and Critical Care Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY, USA [3]Department of Cardiology, Academic Medical Center, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands [4]ECMO Department, Karolinska University Hospital, Stockholm, Sweden [5]Anaesthesiology and Intensive Care, Department of Physiology and Pharmacology, Karolinska Institute, Stockholm, Sweden [6]School of Technology and Health, Royal Institute of Technology, Stockholm, Sweden Corresponding Author: Michael Broomé, ECMO Department, Karolinska University Hospital, Stockholm, SE-171 76, Sweden. Email: michael.broome@ki.se

关键词

Keywords veno-arterial extracorporeal membrane oxygenation (VA ECMO); left ventricular unloading; cardiogenic shock; cardiovascular modeling; computer simulation

关键词译文

关键词静脉 - 动脉体外膜肺氧合（VA ECMO）;左心室卸载;心源性休克;心血管建模;计算机模拟

发布日期

August 16, 2018

页码

98-105

DOI

10.1177/0267659118794112

来源信息

Perfusion ISSN：0267-6591, 2019年, 34卷, 2期, 98-105页

摘要

Short-term mechanical support by veno-arterial extracorporeal membrane oxygenation (VA ECMO) is more and more applied in patients with severe cardiogenic shock. A major shortcoming of VA ECMO is its variable, but inherent increase of left ventricular (LV) mechanical load, which may aggravate pulmonary edema and hamper cardiac recovery. In order to mitigate these negative sequelae of VA ECMO, different adjunct LV unloading interventions have gained a broad interest in recent years. Here, we review the whole spectrum of percutaneous and surgical techniques combined with VA ECMO reported to date.

摘要译文

静脉 - 动脉体外膜肺氧合（VA ECMO）的短期机械支持越来越多地应用于严重心源性休克患者。 VA ECMO的一个主要缺点是其变量，但左心室（LV）机械负荷固有增加，这可能加重肺水肿并阻碍心脏康复。为了减轻VA ECMO的这些负面后遗症，近年来不同的辅助LV卸载干预措施引起了广泛关注。在这里，我们回顾了迄今为止报道的VA ECMO结合的经皮和外科技术的全部范围。

Dirk W. Donker[1]; Daniel Brodie[2]; José P.S. Henriques[3]; Michael Broomé[4][5][6]. Left ventricular unloading during veno-arterial ECMO: a review of percutaneous and surgical unloading interventions[J]. Perfusion, 2019,34(2): 98-105