Prognostic impact of preoperative liver function on outcomes in patients undergoing Impella^® implantation.

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart and Vessels Pub Date : 2026-09-01 Epub Date: 2026-03-17 DOI:10.1007/s00380-026-02658-3

Toshiyuki Yanai, Tomoko Sugiyama Kato, Takehiro Homma, Maki Otsuka, Tatsuhiro Shibata, Shoichiro Nohara, Yoshihiro Fukumoto

引用次数: 0

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术前肝功能对Impella®植入患者预后的影响

Impella®（Abiomed, Danvers， MA， USA）广泛用于心源性休克的机械循环支持，但准确的预后预测仍然具有挑战性。终末期肝病模型（MELD）评分来源于常规实验室参数，可为早期风险评估提供简单客观的工具。本研究还比较了其与顺序器官衰竭评估（SOFA）评分的预后表现。我们回顾性分析了2020年至2024年间在日本地区三级急救中心接受Impella植入的119例患者。在排除接受体外心肺复苏或缺乏足够数据的患者后，62例患者被纳入最终分析。MELD评分≥12和MELD-排除INR （MELD- xi）评分≥15与30天死亡率（p分别= 0.0036和0.0003）和1年生存率降低（p分别= 0.0037和0.0024）显著相关。MELD和MELD- xi的短期预后判别与SOFA相当，预测1年生存率优于SOFA。基于meld的评分也与SOFA相关(p

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来源期刊

Heart and Vessels 医学-外周血管病

CiteScore

3.10

自引率

13.30%

发文量

211

审稿时长

2 months

期刊介绍： Heart and Vessels is an English-language journal that provides a forum of original ideas, excellent methods, and fascinating techniques on cardiovascular disease fields. All papers submitted for publication are evaluated only with regard to scientific quality and relevance to the heart and vessels. Contributions from those engaged in practical medicine, as well as from those involved in basic research, are welcomed.

Prognostic impact of preoperative liver function on outcomes in patients undergoing Impella® implantation.

Prognostic impact of preoperative liver function on outcomes in patients undergoing Impella^® implantation.