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Léčba dlouhodobých komplikací mechanické podpory funkce levé komory
[Managing long-term complications of left ventricular assist device therapy]
Evgenij V. Potapov, Alexander Stepanenko, Thomas Krabatsh, Roland Hetzer
Jazyk čeština Země Česko
Typ dokumentu přehledy
- MeSH
- aortální chlopeň MeSH
- časové faktory MeSH
- dysfunkce pravé srdeční komory MeSH
- hemodynamika MeSH
- katetrizace MeSH
- lidé MeSH
- plicní hypertenze MeSH
- podpůrné srdeční systémy škodlivé účinky MeSH
- rizikové faktory MeSH
- selhání zařízení MeSH
- srdeční komory patologie MeSH
- srdeční selhání patologie terapie MeSH
- tromboembolie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
As permanent support with ventricular assist devices (VADs) has become a reality and increasing numbers of patients are being supported for several years, the interactions between the VAD and the body and the management of complications during life-long support have gained the interest of clinicians and biomedical engineers. RECENT FINDINGS: Several interactions between the body and the implanted pump, including changes in the coagulation system, structure and function of the aortic valve, VAD-related infections, and technical failure as well as psychosocial aspects and their specific management have been described. SUMMARY: With enormous progress made in VAD technology, the incidence of complications has decreased over the years. However, with longer times of support, many aspects of the interaction between the implanted pump and the patient's body have been recognized. The management of these interactions and possible complications remain challenging, but it is possible to achieve long-term event-free VAD support.
Managing long-term complications of left ventricular assist device therapy
Literatura
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- $a Managing long-term complications of left ventricular assist device therapy
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- $a As permanent support with ventricular assist devices (VADs) has become a reality and increasing numbers of patients are being supported for several years, the interactions between the VAD and the body and the management of complications during life-long support have gained the interest of clinicians and biomedical engineers. RECENT FINDINGS: Several interactions between the body and the implanted pump, including changes in the coagulation system, structure and function of the aortic valve, VAD-related infections, and technical failure as well as psychosocial aspects and their specific management have been described. SUMMARY: With enormous progress made in VAD technology, the incidence of complications has decreased over the years. However, with longer times of support, many aspects of the interaction between the implanted pump and the patient's body have been recognized. The management of these interactions and possible complications remain challenging, but it is possible to achieve long-term event-free VAD support.
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