HeartMate III 自主助手在偏瘫左心室辅助装置患者中的应用:病例报告。

IF 3.1 3区 医学 Q2 ENGINEERING, BIOMEDICAL
Manuel Iafrate, Lorraine Aviolat, Filipa Monis Vieira Marques, Valentin Soumille, Matthias Kirsch
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引用次数: 0

摘要

终末期心力衰竭带来了挑战,需要心脏移植或机械循环支持。由于供体器官有限,因此机械支持至关重要。与轴流式相比,离心流系统的进步减少了不良事件的发生,从而改善了患者的预后。移植后的康复对于患者的独立至关重要。我们开发了一种工具,帮助偏瘫患者管理动力源。一名 44 岁的男性患有三支管缺血性心脏病,射血分数为 15%。在等待移植手术期间,他接受了双搭桥术和左心室辅助装置(LVAD)植入术。手术后,患者发生中风,导致左侧运动障碍。为了协助管理 LVAD 电源,我们开发了一种带有 Woodcast 支撑底座和防滑表面的自主工具。该工具提高了运动障碍患者的自主能力和生活质量。它设计为便携式,适应性强,支持不同的行动能力水平。现实世界的证据表明,它减少了更换电池的时间和警报,在家庭环境中证明是有效的。该工具大大提高了偏瘫患者的自理能力和独立性,为运动障碍患者带来了希望。还需要进一步研究,以评估长期效益和挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HeartMate III Autonomy Assistant in a Hemiplegic Left Ventricular Assist Device Patient: A Case Report.

Terminal heart failure presents challenges, requiring cardiac transplantation, or mechanical circulatory support. Limited donor organ availability has made mechanical support crucial. Advances in centrifugal-flow systems, compared to axial-flow, have improved patient outcomes by reducing adverse events. Rehabilitation is vital for patient independence postimplantation. We developed a tool to aid hemiplegic patients in managing power sources. A 44 year old male with tritroncular ischemic heart disease and a 15% ejection fraction. He underwent a double bypass and left ventricular assist device (LVAD) implantation while awaiting a transplant. Postsurgery, the patient suffered a stroke, leading to left motor impairments. To assist in managing LVAD power sources, an autonomous tool with a Woodcast support base and antislip surface was developed. The tool improves autonomy and quality of life for motor-impaired patients. It is designed to be portable, adaptable, supporting various mobility levels. Real-world evidence shows it reduces time and alarms for battery changes, proving effective in home settings. The tool significantly enhances hemiparetic patients' self-care and independence, showing promise for motor-impaired individuals. Further research is needed to evaluate long-term benefits and challenges.

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来源期刊
ASAIO Journal
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.
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