PDF(Pubmed)
Abstract：
Different temporary mechanical circulatory support (tMCS) devices are available and can be used to maintain end-organ perfusion while reducing cardiac work and myocardial oxygen demand. tMCS can provide support to the right ventricle, left ventricle, or both, and its use can be considered in emergency situations such as cardiogenic shock or in elective procedures such as high-risk percutaneous coronary intervention to prevent haemodynamic deterioration. Invasive and, most importantly, non-invasive haemodynamic parameters should be taken into account when choosing the type of tMCS device and its initiation and weaning timing, determining the need for a device upgrade, and screening for complications. In this context, ultrasound tools, specifically echocardiography, can provide important data. This review aims to provide a description of the different tMCS devices, the invasive and non-invasive tools and parameters to guide their management, and their advantages and drawbacks.
摘要：
不同的临时机械循环支持（tMCS）设备可用，可用于维持末端器官灌注，同时减少心脏工作和心肌需氧量。tMCS可以为右心室提供支持，左心室,或者两者兼而有之,可以考虑在心源性休克等紧急情况下或在高风险经皮冠状动脉介入治疗等选择性手术中使用，以防止血流动力学恶化。侵入性和,最重要的是,在选择tMCS设备的类型及其启动和断奶时机时，应考虑非侵入性血流动力学参数，确定设备升级的需要，和并发症筛查。在这种情况下，超声工具，特别是超声心动图，可以提供重要数据。这篇综述旨在描述不同的tMCS设备，指导其管理的侵入性和非侵入性工具和参数，以及它们的优点和缺点。
