دورية أكاديمية
أعرض في EDS

Right-Sided Mechanical Circulatory Support - A Hemodynamic Perspective.

التفاصيل البيبلوغرافية
العنوان: Right-Sided Mechanical Circulatory Support - A Hemodynamic Perspective.
المؤلفون: Alkhunaizi FA; Division of Cardiology, Columbia University Medical Center, 622 West 168th Street, Presbyterian Hospital, 3rd Floor, Room 347, New York, NY, 10032, USA., Burkhoff D; Cardiovascular Research Foundation, New York, NY, USA., Brener MI; Division of Cardiology, Columbia University Medical Center, 622 West 168th Street, Presbyterian Hospital, 3rd Floor, Room 347, New York, NY, 10032, USA. mib2102@cumc.columbia.edu.
المصدر: Current heart failure reports [Curr Heart Fail Rep] 2022 Oct; Vol. 19 (5), pp. 334-345. Date of Electronic Publication: 2022 Aug 22.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Current Science Country of Publication: United States NLM ID: 101196487 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1546-9549 (Electronic) Linking ISSN: 15469530 NLM ISO Abbreviation: Curr Heart Fail Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : Current Science, c2004-
مواضيع طبية MeSH: Heart Failure*/etiology , Heart Failure*/surgery , Heart-Assist Devices*/adverse effects , Ventricular Dysfunction, Right*/etiology, Hemodynamics ; Humans ; Mobility Limitation ; Treatment Outcome
مستخلص: Purpose of Review: Right ventricular (RV) failure is increasingly recognized as a major cause of morbidity and mortality. When RV failure is refractory to medical therapy, escalation to right-sided mechanical circulatory support (MCS) should be considered. In this review, we begin by recapitulating the hemodynamics of RV failure, then we delve into current and future right-sided MCS devices and describe their hemodynamic profiles.
Recent Findings: The field of temporary right-sided MCS continues to expand, with evolving strategies and new devices actively under development. All right-sided MCS devices bypass the RV, with each bypass configuration conferring a unique hemodynamic profile. Devices that aspirate blood directly from the RV, as opposed to the RA or the IVC, have more favorable hemodynamics and more effective RV unloading. There has been a growing interest in single-access MCS devices which do not restrict patient mobility. Additionally, a first-of-its-kind percutaneous, pulsatile, right-sided MCS device (PERKAT RV) is currently undergoing investigation in humans. Prompt recognition of refractory RV failure and deployment of right-sided MCS can improve outcomes. The field of right-sided MCS is rapidly evolving, with ongoing efforts dedicated towards developing novel temporary devices that are single access, allow for patient mobility, and directly unload the RV, as well as more durable devices.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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معلومات مُعتمدة: T32 HL007854 United States HL NHLBI NIH HHS
فهرسة مساهمة: Keywords: Hemodynamics; Mechanical circulatory support; Right ventricle; Right ventricular assist device (RVAD); Right ventricular failure; Right-sided
تواريخ الأحداث: Date Created: 20220822 Date Completed: 20221007 Latest Revision: 20230301
رمز التحديث: 20230301
مُعرف محوري في PubMed: PMC9972735
DOI: 10.1007/s11897-022-00562-1
PMID: 35994222
قاعدة البيانات: MEDLINE
الوصف
تدمد:1546-9549
DOI:10.1007/s11897-022-00562-1