反冲洗法治疗 HeartMate3 血流栓塞：两个病例的经验。

IF 3.1 3区医学 Q2 ENGINEERING, BIOMEDICAL

ASAIO Journal Pub Date : 2025-03-01 Epub Date: 2024-06-19 DOI:10.1097/MAT.0000000000002258

Nikolaos Cholevas, Christoph Hoermandinger, Isabell Anna Just, Nikolaos Politis, Volkmar Falk, Evgenij Potapov, Felix Schoenrath

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引用次数: 0

摘要

泵流入血栓虽然罕见，但却是左心室辅助装置的潜在并发症，可能危及生命。在过去几年中，反冲洗法被认为是治疗泵流入血栓的替代方法，在使用 HeartWare HVAD 设备的特定患者中显示出很高的成功率。然而，我们在本报告中详细介绍了这种方法在两名摄入泵流入血栓的 HeartMate3 患者中的应用。可能是由于 HeartMate3 泵流入部分的机械方面的原因，在这两个病例中都无法洗出血栓。因此，我们仍然对在有流入血栓的 HeartMate3 患者中使用这种方法持怀疑态度。

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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Backwash Maneuver for HeartMate3 Inflow Thrombosis: Experience From Two Cases.

The ingested pump inflow thrombus, although rare, is a potentially life-threatening complication of left ventricular assist devices. During the last years, the backwash maneuver is considered an alternative method to pump replacement for the treatment of inflow thrombosis, showing high success rate in selected patients with HeartWare HVAD devices. However, that was not the case in our present report, in which we detail the application of this method in two HeartMate3 patients with ingested pump inflow thrombus. Washing out the thrombus was not feasible in either case, possibly due to mechanical aspects of the inflow part of the HeartMate3 pump. As a result, we remain skeptical regarding the use of the method in HeartMate3 patients with inflow thrombosis.

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来源期刊

ASAIO Journal 医学-工程：生物医学

CiteScore

6.60

自引率

7.10%

发文量

651

审稿时长

4-8 weeks

期刊介绍： ASAIO Journal is in the forefront of artificial organ research and development. On the cutting edge of innovative technology, it features peer-reviewed articles of the highest quality that describe research, development, the most recent advances in the design of artificial organ devices and findings from initial testing. Bimonthly, the ASAIO Journal features state-of-the-art investigations, laboratory and clinical trials, and discussions and opinions from experts around the world. The official publication of the American Society for Artificial Internal Organs.