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Временная механическая поддержка кровообращения у потенциальных реципиентов сердца

https://doi.org/10.15825/1995-1191-2017-4-113-123

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Аннотация

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.

Об авторах

В. Н. Попцов
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России.
Россия
Москва.


Е. А. Спирина
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России.
Россия
Москва.


С. Г. Ухренков
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России.
Россия
Москва.


Д. М. Бондаренко
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России.
Россия
Москва.


А. А. Догонашева
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России.
Россия
Москва.


Э. З. Алиев
ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России.
Россия
Москва.


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Для цитирования:


Попцов В.Н., Спирина Е.А., Ухренков С.Г., Бондаренко Д.М., Догонашева А.А., Алиев Э.З. Временная механическая поддержка кровообращения у потенциальных реципиентов сердца. Вестник трансплантологии и искусственных органов. 2017;19(4):113-123. https://doi.org/10.15825/1995-1191-2017-4-113-123

For citation:


Poptsov V.N., Spirina E.A., Ukhrenkov S.G., Bondarenko D.M., Dogonasheva A.A., Aliev E.Z. Temporary mechanical circulatory support in heart transplant candidates. Russian Journal of Transplantology and Artificial Organs. 2017;19(4):113-123. (In Russ.) https://doi.org/10.15825/1995-1191-2017-4-113-123

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