Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2014.55.596
Ventricular assist device selection: which one and when?
John M. Stulak
; Division of Cardiovascular Surgery, Mayo Clinic College of Medicine,Rochester, MN, USA
Ju Yong Lim
; Division of Cardiovascular Surgery, Mayo Clinic College of Medicine,Rochester, MN, USA
Simon Maltais
; Vanderbilt Heart, Nashville, TN, USA
Sažetak
Advances in mechanical circulatory support have significantly
expanded the treatment options for patients with
heart failure, whether acute or chronic. There are numerous
devices available that offer patients short-, intermediate-,
and long-term duration of support depending on
their clinical needs and cardiac recovery. Each device has
its own technical considerations and the decision which
device to use depends on several factors, including what
is available, the degree of support required, and expected
duration of support. Additional issues that need to
be considered in choosing level of support include right
heart function, respiratory failure, and multi-organ derangements.
A widespread availability of short-term ventricular
assist devices and timely institution for effective
hemodynamic support will translate into improved patient
outcomes whether that is successful transfer to a tertiary
care facility or recovery of inherent cardiac function. Implantable
ventricular assist devices have and will continue
to evolve into smaller and more durable devices, and the
future for patients with advanced heart failure looks evermore
promising.
Ključne riječi
Hrčak ID:
139287
URI
Datum izdavanja:
15.12.2014.
Posjeta: 828 *