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Вестник трансплантологии и искусственных органов

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Механическая поддержка кровообращения в лечении детей с терминальной сердечной недостаточностью

https://doi.org/10.15825/1995-1191-2017-3-93-103

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Аннотация

Механическая поддержка кровообращения за последние десятилетия стала одним из наиболее эффективных средств лечения больных с терминальной сердечной недостаточностью. К сожалению, в педиатрии данный метод в основном используется для кратковременного подключения, и к нему относятся прежде всего экстракорпоральная мембранная оксигенация и левожелудочковый обход с помощью экстракорпорального подключения центробежных насосов. При этом применение данных методов у детей позволило значительно уменьшить смертность в листе ожидания на трансплантацию сердца. На сегодняшний день практически единственным методом длительной механической поддержки кровообращения у новорожденных и детей младшего возраста является система паракорпорального подключения искусственных желудочков EXCOR, применение которых связано с большими проблемами тромбоосложнений. Имеется относительно небольшой клинический опыт использования полностью имплантируемых систем, разработанных для взрослых, у детей старшего возраста. Поэтому, как показано в настоящем обзоре, задача создания систем длительной поддержки кровообращения для новорожденных и детей младшего возраста на основе имплантируемых насосов является актуальной.

Об авторах

С. В. Готье
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России (Сеченовский университет)
Россия
Кафедра трансплантологии и искусственных органов


Г. П. Иткин
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России Московский физико-технический институт (государственный университет)
Россия

кафедра физики живых систем

Адрес: 123182, Москва, ул. Щукинская, д. 1. Тел. (499) 190-60-34



О. Ю. Дмитриева
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России
Россия


В. А. Козлов
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России Московский физико-технический институт (государственный университет)
Россия
кафедра физики живых систем


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Для цитирования:


Готье С.В., Иткин Г.П., Дмитриева О.Ю., Козлов В.А. Механическая поддержка кровообращения в лечении детей с терминальной сердечной недостаточностью. Вестник трансплантологии и искусственных органов. 2017;19(3):93-103. https://doi.org/10.15825/1995-1191-2017-3-93-103

For citation:


Gautier S.V., Itkin G.P., Dmitrieva O.Y., Kozlov V.A. Mechanical circulation support of the treatment for children with end-stage chronic heart failure. Russian Journal of Transplantology and Artificial Organs. 2017;19(3):93-103. (In Russ.) https://doi.org/10.15825/1995-1191-2017-3-93-103

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ISSN 1995-1191 (Print)
ISSN 2412-6160 (Online)