[Update Cardiac Support and Assist Therapies]. / Organersatzverfahren: Update Herzersatz- und -unterstützungsverfahren.
Anasthesiol Intensivmed Notfallmed Schmerzther
; 55(3): 150-164, 2020 Mar.
Article
em De
| MEDLINE
| ID: mdl-32191969
ABSTRACT
The management of acute and chronic heart failure utilizes various different techniques and medical devices. Different mechanical chest compression devices (mCPR), intraaortic balloon pump, catheter-based heart pumps like Impella®, and different kinds of ECLS/ECMO are mainly used as bridge to recovery. Venovenous ECMO gained wide acceptance after the CESAR trial. Venoarterial ECMO plays an increasing role as extracorporeal CPR (eCPR). Newer concepts include venovenoarterial ECMO and the combination of ECMO and Impella. Principles and limitations of these concepts are discussed. Surgically implanted devices that include left and right ventricular assist devices (LVAD, RVAD), biventricular VADs and the total artificial heart (TAH) are commonly used as bridge to transplant or destination therapies. Quality of life must be considered in the use of the devices, as the life-saving devices come with restrictions in the patients' lives.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Oxigenação por Membrana Extracorpórea
/
Coração Auxiliar
/
Insuficiência Cardíaca
Limite:
Humans
Idioma:
De
Revista:
Anasthesiol Intensivmed Notfallmed Schmerzther
Assunto da revista:
ANESTESIOLOGIA
/
MEDICINA DE EMERGENCIA
/
TERAPIA INTENSIVA
Ano de publicação:
2020
Tipo de documento:
Article