References

vtio

Вестник трансплантологии и искусственных органов

Russian Journal of Transplantology and Artificial Organs

1995-1191

Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation

10.15825/1995-1191-2017-4-113-123

vtio-835

Research Article

Обзор литературы

Literature Reviews

Временная механическая поддержка кровообращения у потенциальных реципиентов сердца

Temporary mechanical circulatory support in heart transplant candidates

Попцов

В. Н.

Poptsov

V. N.

Москва.

Moscow.

poptsov_vit@mail.ru

Спирина

Е. А.

Spirina

E. A.

Москва.

Moscow.

Ухренков

С. Г.

Ukhrenkov

S. G.

Москва.

Moscow.

Бондаренко

Д. М.

Bondarenko

D. M.

Москва.

Moscow.

Догонашева

А. А.

Dogonasheva

A. A.

Москва.

Moscow.

Алиев

Э. З.

Aliev

E. Z.

Москва.

Moscow.

ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России.РоссияV.I. Shumakov National Medical Research Center of Transplantology and Artiﬁ cial Organs of the Ministry of Healthcare of the Russian Federation.Russian Federation

2017

01022018

194113123

2018

Попцов В.Н., Спирина Е.А., Ухренков С.Г., Бондаренко Д.М., Догонашева А.А., Алиев Э.З.

Poptsov V.N., Spirina E.A., Ukhrenkov S.G., Bondarenko D.M., Dogonasheva A.A., Aliev E.Z.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://journal.transpl.ru/vtio/article/view/835

Несмотря на то что в последнее время системы имплантируемого ЛЖО стали ведущим методом механической поддержки кровообращения у потенциальных реципиентов сердца, применение временной МПК как механического моста к трансплантации сердца (ТС) продолжает оставаться актуальным. Временная МПК обеспечивает достижение быстрой коррекции расстройств системной гемодинамики и создает клинические и организационные условия для выполнения неотложной ТС. Данный подход в организации лечения терминальной ЗСН позволяет не только сохранить жизнь потенциальным реципиентам сердца, но и улучшить доступность ТС. В обзоре представлена характеристика и обсуждается эффективность различных методов временной МПК у потенциальных реципиентов сердца, нуждающихся в неотложной ТС. Особо указывается, что временная МПК у многих потенциальных реципиентов сердца остается методом выбора при быстро прогрессирующих жизнеугрожающих расстройствах системного кровообращения, когда имплантация систем длительного моно- или бивентрикулярного обхода сопряжена с высоким риском. Выбор метода временной МПК определяется вариантом и выраженностью нарушений центральной гемодинамики и предполагаемыми сроками ее применения.

Implantable left ventricular assist devices (LVAD) have become the leading method of mechanical circulatory support (MCS) in heart transplant candidates. But the temporary MCS as a mechanical bridge to heart transplantation (HT) continues to use. The temporary MCS remains an efﬁ ciency method of treatment of life-threatening heart failure (HF), when implantation of permanent LVAD or BiVAD is associated with high risk. The temporary MCS creates clinical and organizational conditions for the urgent HT. This approach allows not only to save life of heart transplant candidates, but also to improve the availability of the HT. The choice of the temporary MCS is determined by the type and severity of HF and the expected duration of its application. The review presents a characteristic, and discusses the effectiveness of various methods of temporary MCS at heart transplant candidates needed in urgent HT.

трансплантация сердцаимплантируемый обход левого желудочкавременная механическая поддержка кровообращения

heart transplantationimplantable left ventricular assist devicestemporary mechanical circulatory support

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The authors declare that there are no conflicts of interest present.