PDF(Pubmed)
Abstract：
UNASSIGNED: The use of mechanical circulatory support (MCS) has markedly increased over the last decade, so have the inter-hospital transfers, with the aim of being able to offer advanced heart failure (AHF) therapies and centralizing patients to tertiary centres.
UNASSIGNED: In this article, we present the first in Europe long-distance air transfer of a patient supported by veno-arterial extracorporeal membrane oxygenator and Impella (ECPELLA), as a bridge to successful heart transplant. In our case report, a foreign young patient with AHF due to familiar cardiomyopathy required multiple MCS devices to achieve cardiovascular stability. After appropriate planning and multidisciplinary discussion, the patient was transferred on MCS to his country of origin via a fixed-wing airplane, in order to be assessed for heart transplantation. During take-off, the Impella flows temporarily dropped and a suction alarm was displayed; however, this rectified without intervention, and the rest of the flight was uneventful. One month after transfer, the patient underwent successful heart transplantation and remained clinically stable during the 12-month follow-up.
UNASSIGNED: Our experience links together the current challenges in the evolving AHF strategies and the increased need for inter-facility cooperation. Both these clinical and logistic challenges appear to lead to possible improved outcomes, after appropriate assessment, training, and accurate planning. Our experience provides useful information on feasibility of long-distance transport of patients supported by ECPELLA in Europe.
UNASSIGNED: In this article, we present the first in Europe long-distance air transfer of a patient supported by veno-arterial extracorporeal membrane oxygenator and Impella (ECPELLA), as a bridge to successful heart transplant. In our case report, a foreign young patient with AHF due to familiar cardiomyopathy required multiple MCS devices to achieve cardiovascular stability. After appropriate planning and multidisciplinary discussion, the patient was transferred on MCS to his country of origin via a fixed-wing airplane, in order to be assessed for heart transplantation. During take-off, the Impella flows temporarily dropped and a suction alarm was displayed; however, this rectified without intervention, and the rest of the flight was uneventful. One month after transfer, the patient underwent successful heart transplantation and remained clinically stable during the 12-month follow-up.
UNASSIGNED: Our experience links together the current challenges in the evolving AHF strategies and the increased need for inter-facility cooperation. Both these clinical and logistic challenges appear to lead to possible improved outcomes, after appropriate assessment, training, and accurate planning. Our experience provides useful information on feasibility of long-distance transport of patients supported by ECPELLA in Europe.
摘要：
■在过去十年中，机械循环支持（MCS）的使用显着增加，医院间的转移也是如此，目的是能够提供高级心力衰竭（AHF）治疗并将患者集中到三级中心。
■在本文中，我们介绍了欧洲第一个由静脉动脉体外膜式氧合器和Impella（ECPELLA）支持的患者的长距离空气转移，作为心脏移植成功的桥梁.在我们的案例报告中，一名因熟悉的心肌病而患有AHF的外国年轻患者需要使用多种MCS设备来实现心血管稳定。经过适当的规划和多学科的讨论，患者通过固定翼飞机被转移到他的原籍国，以评估心脏移植。在起飞期间,Impella流量暂时下降，并显示吸入警报；然而，这种纠正没有干预，其余的飞行都很顺利。转移后一个月，患者成功进行了心脏移植,并在12个月随访期间保持临床稳定.
■我们的经验将不断发展的AHF战略中的当前挑战与对机构间合作的需求增加联系在一起。这些临床和后勤挑战似乎都可能导致改善的结果。经过适当的评估，培训,准确的规划。我们的经验为欧洲ECPELLA支持的患者长途运输的可行性提供了有用的信息。
■在本文中，我们介绍了欧洲第一个由静脉动脉体外膜式氧合器和Impella（ECPELLA）支持的患者的长距离空气转移，作为心脏移植成功的桥梁.在我们的案例报告中，一名因熟悉的心肌病而患有AHF的外国年轻患者需要使用多种MCS设备来实现心血管稳定。经过适当的规划和多学科的讨论，患者通过固定翼飞机被转移到他的原籍国，以评估心脏移植。在起飞期间,Impella流量暂时下降，并显示吸入警报；然而，这种纠正没有干预，其余的飞行都很顺利。转移后一个月，患者成功进行了心脏移植,并在12个月随访期间保持临床稳定.
■我们的经验将不断发展的AHF战略中的当前挑战与对机构间合作的需求增加联系在一起。这些临床和后勤挑战似乎都可能导致改善的结果。经过适当的评估，培训,准确的规划。我们的经验为欧洲ECPELLA支持的患者长途运输的可行性提供了有用的信息。
