在心肝联合顺序移植手术中自由使用静脉-动脉体外膜氧合。

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Perfusion-Uk Pub Date : 2025-01-01 Epub Date: 2024-01-22 DOI:10.1177/02676591241228975

Alice V Vinogradsky, Stephanie N Nguyen, Abhishek Mathur, Koji Takeda

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引用次数: 0

摘要

心肝联合移植（CHLT）是一种极少见的手术，但其适应症在不断变化，且越来越多。尽管只有少数几个中心开展了心肝联合移植手术，但术中使用机械循环支持以优化血流动力学并促进双器官移植的情况却大相径庭。在我们中心，当静脉-静脉分流预计不足以减轻与肝脏再灌注相关的血流动力学扰动时，我们会大量使用静脉-动脉体外膜肺氧合（V-A ECMO）。在本系列文章中，我们介绍了在顺序（心脏先行）CHLT 中使用 V-A ECMO 的经验，并展示了这一策略的良好疗效。

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Liberal use of veno-arterial extracorporeal membrane oxygenation in combined sequential heart-liver transplantation.

Combined heart-liver transplantation (CHLT) is a rarely though increasingly performed procedure with evolving indications. Despite CHLT being performed at only a handful of centers, the use of intraoperative mechanical circulatory support to optimize hemodynamics and facilitate dual-organ transplantation varies widely. At our center, we liberally utilize veno-arterial extracorporeal membrane oxygenation (V-A ECMO) when a veno-venous shunt is anticipated to be insufficient in mitigating the hemodynamic perturbations associated with liver reperfusion. In this series, we describe our experience with V-A ECMO in sequential (heart-first) CHLT and demonstrate highly favorable outcomes with this strategy.

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来源期刊

Perfusion-Uk 医学-外周血管病

CiteScore

3.00

自引率

8.30%

发文量

203

审稿时长

6-12 weeks

期刊介绍： Perfusion is an ISI-ranked, peer-reviewed scholarly journal, which provides current information on all aspects of perfusion, oxygenation and biocompatibility and their use in modern cardiac surgery. The journal is at the forefront of international research and development and presents an appropriately multidisciplinary approach to perfusion science.