全人工心脏vs LVAD和BIVAD。

IF 2.5 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Tessa Watt, Ranjit John
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引用次数: 0

摘要

对于需要机械循环支持的终末期心肌病患者,双心室心力衰竭仍然是一个具有挑战性的问题。此外,持久左心室辅助功能的致命弱点仍然是影响发病率和死亡率的右心室衰竭。随着最近心脏移植分配系统的变化,在双心室衰竭治疗中使用ECMO、临时vad和持久vad的实践模式以及心脏移植的桥梁策略发生了重大变化。设备之间的直接比较通常很难进行,因为每种设备和策略在供应商和机构层面都有一个学习曲线。该领域继续快速发展,人工智能的应用可能会进一步加速这种增长。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Total Artificial Heart vs Left Ventricular Assist Device and Biventricular Assist Device.

Biventricular heart failure remains a challenging issue in patients with end-stage cardiomyopathy requiring mechanical circulatory support options. Also, the Achilles heel of durable left ventricular assist devices (LVADs) remains right ventricular failure that significantly impacts morbidity and mortality. With recent changes in the heart transplant allocation system, there has been major shifts in practice patterns in the use of extracorporeal membranous oxygenation (ECMO), temporary VADs, and durable VADs in the treatment of biventricular failure and strategies for bridge to heart transplantation. Direct comparisons between devices are often difficult to make as there is a learning curve both at the provider level and institution level for each of these devices and strategies. The field continues to rapidly evolve, and the application of artificial intelligence may further hasten this growth.

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来源期刊
Seminars in Thoracic and Cardiovascular Surgery
Seminars in Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine
CiteScore
5.80
自引率
0.00%
发文量
324
审稿时长
12 days
期刊介绍: Seminars in Thoracic and Cardiovascular Surgery is devoted to providing a forum for cardiothoracic surgeons to disseminate and discuss important new information and to gain insight into unresolved areas of question in the specialty. Each issue presents readers with a selection of original peer-reviewed articles accompanied by editorial commentary from specialists in the field. In addition, readers are offered valuable invited articles: State of Views editorials and Current Readings highlighting the latest contributions on central or controversial issues. Another prized feature is expert roundtable discussions in which experts debate critical questions for cardiothoracic treatment and care. Seminars is an invitation-only publication that receives original submissions transferred ONLY from its sister publication, The Journal of Thoracic and Cardiovascular Surgery. As we continue to expand the reach of the Journal, we will explore the possibility of accepting unsolicited manuscripts in the future.
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