停止使用可卡因和钛塞移植HVAD™后左心室扩张的恢复。

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiac Surgery Pub Date : 2022-12-01 DOI:10.1111/jocs.17135

Mohamed Elbayomi, Michael Weyand, Timo Seitz, Christian Heim, Katrin Steger, Rene Tandler

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引用次数: 1

摘要

终末期心力衰竭治疗的最终目标是在左心室机械辅助后恢复心功能。HVAD™泵(HeartWare Inc.)左心室辅助装置(LVAD)可以在不切除胸骨的情况下取出。本文证明，使用定制的机械插头(INNOVO Solutions GmbH制造)，可以插入LVAD的缝纫环，是可行的。这种明确设计用于器械外植的机械塞是目前护理标准的可行替代方案。本文采用微创技术进行泵的外植。下面的案例说明了这种技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Recovery of a dilated left ventricle after cessation of cocaine and HVAD™ explantation using a titanium plug.

The ultimate goal in the treatment of end-stage heart failure is the recovery of cardiac function following mechanical assistance of the left ventricle. The HVAD™ pump (HeartWare Inc.) left ventricular assist device (LVAD) can be explanted without resternotomy. This article demonstrates that the use of a custom-made mechanical plug (manufactured by INNOVO Solutions GmbH), which can be inserted into the LVAD's sewing ring, is feasible. This mechanical plug explicitly designed for device explantation is a viable alternative to the current standard of care. This article adopts a less invasive technique to explant the pump. The following case illustrates this technique.

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来源期刊

Journal of Cardiac Surgery 医学-外科

CiteScore

2.90

自引率

12.50%

发文量

976

审稿时长

3-8 weeks

期刊介绍： Journal of Cardiac Surgery (JCS) is a peer-reviewed journal devoted to contemporary surgical treatment of cardiac disease. Renown for its detailed "how to" methods, JCS''s well-illustrated, concise technical articles, critical reviews and commentaries are highly valued by dedicated readers worldwide. With Editor-in-Chief Harold Lazar, MD and an internationally prominent editorial board, JCS continues its 20-year history as an important professional resource. Editorial coverage includes biologic support, mechanical cardiac assist and/or replacement and surgical techniques, and features current material on topics such as OPCAB surgery, stented and stentless valves, endovascular stent placement, atrial fibrillation, transplantation, percutaneous valve repair/replacement, left ventricular restoration surgery, immunobiology, and bridges to transplant and recovery. In addition, special sections (Images in Cardiac Surgery, Cardiac Regeneration) and historical reviews stimulate reader interest. The journal also routinely publishes proceedings of important international symposia in a timely manner.