索引超出了数组界限。 文章摘要
|本期目录/Table of Contents|

[1]施景云,祝忠群.体外膜肺氧合状态下左心室卸载作用机制及其在儿科中的应用[J].国际心血管病杂志,2025,01:39-42.
点击复制

体外膜肺氧合状态下左心室卸载作用机制及其在儿科中的应用(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2025年01期
页码:
39-42
栏目:
综述
出版日期:
2025-01-25

文章信息/Info

Title:
-
作者:
施景云; 祝忠群
200127 上海交通大学医学院附属上海儿童医学中心心胸外科
Author(s):
-
关键词:
体外膜肺氧合; 左心室卸载; 心源性休克
Keywords:
-
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2025.01.011
文献标识码:
-
摘要:
体外膜肺氧合（ECMO）为心源性休克患者提供心肺循环支持，但ECMO的使用会直接导致左心室后负荷增加，进而引发前负荷加重，不利于心肌恢复。左心室卸载可以改善ECMO状态下的血流动力学、减少缺血再灌注损伤、增加冠状动脉血流甚至促进心室逆重构，从而恢复心肌功能。该文介绍ECMO状态下左心室卸载的方法、作用机制及其在儿科领域中的应用。
Abstract:
-

参考文献/References

[1] 蒋侠, 李明秋, 徐勇, 等. 体外膜肺氧合在心脏外科围手术期治疗中的应用[J]. 国际心血管病杂志, 2022, 49(4):244-246.
[2] Russo JJ, Aleksova N, Pitcher I, et al. Left ventricular unloading during extracorporeal membrane oxygenation in patients with cardiogenic shock[J]. J Am Coll Cardiol, 2019, 73(6):654-662.
[3] Donker DW, Brodie D, Henriques JPS, et al. Left ventricular unloading during veno-arterial ECMO: a review of percutaneous and surgical unloading interventions[J]. Perfusion, 2019, 34(2):98-105.
[4] Balthazar T, Vandenbriele C, Verbrugge FH, et al. Managing patients with short-term mechanical circulatory support:JACC review topic of the week[J]. J Am Coll Cardiol, 2021, 77(9):1243-1256.
[5] Barbone A, Malvindi PG, Ferrara P, et al. Left ventricle unloading by percutaneous pigtail during extracorporeal membrane oxygenation[J]. Interact Cardiovasc Thorac Surg, 2011, 13(3):293-295.
[6] Pasrija C, Tran D, Kon ZN. Atrial septostomy: an alternative for left ventricular unloading during extracorporeal life support[J]. Ann Thorac Surg, 2018, 105(6):1858.
[7] Singh SK, Ning YM, Kurlansky P, et al. Impact of venoarterial extracorporeal membrane oxygenation flow on outcomes in cardiogenic shock[J]. ASAIO J, 2022, 68(2):239-246.
[8] Ezad SM, Ryan M, Donker DW, et al. Unloading the left ventricle in venoarterial ECMO: in whom, when, and how?[J]. Circulation, 2023, 147(16):1237-1250.
[9] Esposito ML, Zhang YL, Qiao XY, et al. Left ventricular unloading before reperfusion promotes functional recovery after acute myocardial infarction[J]. J Am Coll Cardiol, 2018, 72(5):501-514.
[10] Manning AS, Hearse DJ. Reperfusion-induced arrhythmias:mechanisms and prevention[J]. J Mol Cell Cardiol, 1984, 16(6):497-518.
[11] Char S, Fried J, Melehy A, et al. Clinical efficacy of direct or indirect left ventricular unloading during venoarterial extracorporeal membrane oxygenation for primary cardiogenic shock[J]. J Thorac Cardiovasc Surg, 2023, 165(2):699-707.e5.
[12] Kapur NK, Alkhouli MA, DeMartini TJ, et al. Unloading the left ventricle before reperfusion in patients with anterior ST-segment-elevation myocardial infarction[J]. Circulation, 2019, 139(3):337-346.
[13] Heusch G, Rassaf T. Left ventricular unloading in myocardial infarction: gentle reperfusion through the backdoor?[J]. J Am Coll Cardiol, 2020, 76(6):700-702.
[14] Guariento A, Blitzer D, Doulamis I, et al. Preischemic autologous mitochondrial transplantation by intracoronary injection for myocardial protection[J]. J Thorac Cardiovasc Surg, 2020, 160(2):e15-e29.
[15] Swain L, Reyelt L, Bhave S, et al. Transvalvular ventricular unloading before reperfusion in acute myocardial infarction[J]. J Am Coll Cardiol, 2020, 76(6):684-699.
[16] Hamad EA, Byku M, Larson SB, et al. LVAD therapy as a catalyst to heart failure remission and myocardial recovery[J]. Clin Cardiol, 2023, 46(10):1154-1162.
[17] Choudhury TA, Ofori-Amanfo G, Choi J, et al. Left heart decompression on veno-arterial extracorporeal membrane oxygenation in children with dilated cardiomyopathy and myocarditis: an extracorporeal life support organization registry review[J]. Pediatr Crit Care Med, 2021, 22(12):1026-1032.
[18] Perry T, Greenberg JW, Cooper DS, et al. Balloon atrial septostomy versus left atrial cannulation for left heart decompression in children with dilated cardiomyopathy and myocarditis on extracorporeal membrane oxygenation: an ELSO registry analysis[J]. Perfusion, 2024, 39(8):1732-1739.
[19] Ye LF, Shu Q, Zhang C, et al. Surgical minimal invasive left atrial decompression during venoarterial extracorporeal membrane oxygenation for pediatric acute fulminant myocarditis[J]. World J Pediatr Surg, 2021, 4(4):e000291.
[20] Meani P, Lorusso R, Kowalewski M, et al. Influence of left ventricular unloading on pediatric post-cardiotomy veno-arterial extracorporeal life support outcomes[J]. Front Cardiovasc Med, 2022, 9:970334.
[21] Sperotto F, Polito A, Amigoni A, et al. Left atrial decompression in pediatric patients supported with extracorporeal membrane oxygenation for failure to wean from cardiopulmonary bypass:a propensity-weighted analysis[J]. J Am Heart Assoc, 2022, 11(23):e023963.
[22] Bouhout I, Nguyen SN, Barry OM, et al. Transinnominate impella 5.5 insertion as a bridge to transplantation in a pediatric patient in refractory cardiogenic shock[J]. JTCVS Tech, 2022, 14:201-203.
[23] Perri G, Trezzi M, Formigari R, et al. Use of transcarotid IMPELLA 2.5 axial-flow pump device for left ventricle unloading during VA-ECMO support in pediatric acute heart failure[J]. World J Pediatr Congenit Heart Surg, 2021, 12(4):542-546.
[24] Parker LE, Overbey DM, Kang L, et al. Use of microaxial flow pumps in adolescents[J]. JTCVS Tech, 2023, 21:188-194.
[25] Hirose M, Ishida H, Kawamura T, et al. Trans-subclavian approach for Impella CP implantation using the chimney graft in a pediatric patient with fulminant myocarditis during extracorporeal support[J]. J Artif Organs, 2023, 26(3):242-245.

备注/Memo

备注/Memo:
通信作者：祝忠群， E-mail：zzqheart@aliyun.com
更新日期/Last Update: 2025-02-10