Percutaneous mechanical devices for supporting the left ventricular failure

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2019 Apr 28;44(4):354-363. doi: 10.11817/j.issn.1672-7347.2019.04.003.

Abstract

This article reviews the indications, contraindications, functionality, and complications for various percutaneous devices that can be used to support the left ventricular failure. We also reviews the anesthetic effect for these devices. A literature review was performed using PubMed. When the heart experiences end-stage systolic ventricular failure, it is generally unable to restore its practical function with pharmacological therapy alone. Percutaneous ventricular support devices have been introduced and used successfully to support a failing ventricle in a variety of settings. These devices include intra-aortic balloon pump, TandemHeart, and Impeller, as well as veno-arterial extracorporeal membrane oxygenation for left ventricular support. These devices are typically accessed percutaneously through the femoral vessels and/or the jugular vein(s), although other sites are possible in unique cases.

本文综述了各种可用于支持左心衰的经皮装置的适应证、禁忌证、并发症、功能性和其他特征;并回顾了这些装置对某些手术麻醉的影响。使用PubMed对相关文献进行了回顾。当心脏出现终末期收缩期心室衰竭时,单凭药物治疗通常无法恢复其实际功能。经皮心室支持装置已被引进并成功地用于在各种环境中支持衰竭的心室,包括主动脉内球囊泵、TandemHeart、叶轮、静脉-动脉体外膜肺氧合,这些装置通常是通过股动、静脉和/或颈静脉经皮进入的,尽管在特殊情况下可能有其他部位。.

Publication types

  • Review

MeSH terms

  • Extracorporeal Membrane Oxygenation*
  • Heart Failure*
  • Heart-Assist Devices*
  • Humans
  • Intra-Aortic Balloon Pumping
  • Shock, Cardiogenic
  • Ventricular Dysfunction, Left