全磁悬浮耐用型双心室辅助装置植入术

Q3 Medicine

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI:10.1053/j.optechstcvs.2024.01.001

Luke A. Ziegler BA , Nicholas R. Hess MD , David J. Kaczorowski MD

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引用次数: 0

摘要

针对双心室衰竭患者的持久性机械循环支持方案非常有限。一种新出现的策略是在双心室配置中使用两个完全磁悬浮的耐用心室辅助装置（HeartMate 3s）。将 HeartMate 3 用作右心室辅助装置（RVAD）需要进行多项复杂的技术改造。在此，我们提供了详细的步骤图，并全面介绍了双侧 HeartMate 3 的插入方法，尤其侧重于 RVAD 的右心房流入插管。同时还介绍了潜在的隐患和解决方案。

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Fully Magnetically Levitated Durable Biventricular Assist Device Insertion

Durable mechanical circulatory support options for patients with biventricular failure are limited. One emerging strategy is the use of 2 fully magnetically levitated durable ventricular assist devices (HeartMate 3s) in a biventricular configuration. The use of a HeartMate 3 as a right ventricular assist device (RVAD) requires several complex technical modifications. Here, we provide step-wise detailed figures and a comprehensive description of bilateral HeartMate 3 insertion, with a particular focus on right atrial inflow cannulation for the RVAD. Potential pitfalls and solutions are also described.

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来源期刊

Operative Techniques in Thoracic and Cardiovascular Surgery Medicine-Surgery

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.