单纯超声引导下国产介入式左心室辅助泵植入及定位两例  

Pure echocardiography-guided implantation and localization of transcatheter left ventricular assist pump:A report of two cases

作　　者：朱达 王首正 欧阳文斌[1,2] 邱洪 潘湘斌[1,2] ZHU Da;WANG Shouzheng;OUYANG Wenbin;QIU Hong;PAN Xiangbin(Department of Structure Heart Center,Fuwai Yunnan Hospital,Chinese Academy of Medical Sciences,Affiliated Cardiovascular Hospital of Kunming Medical University,Kunming,650102,P.R.China;Department of Structure Heart Center,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,P.R.China;Department of Coronary Heart Disease Center,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,P.R.China)

机构地区：[1]云南省阜外心血管病医院昆明医科大学附属心血管医院结构性心脏病中心,昆明650102 [2]中国医学科学院北京协和医学院国家心血管病中心阜外医院结构性心脏病中心,北京100037 [3]中国医学科学院北京协和医学院国家心血管病中心阜外医院冠心病中心,北京100037

出　　处：《中国胸心血管外科临床杂志》2024年第11期1690-1693,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家重点研发计划(2022YFC2503400);云南省心血管病临床医学研究中心项目(202102AA310002);云南省重大科技专项计划项目(202302AA310045)。

摘　　要：介入式左心室辅助泵广泛应用于心源性休克、体外循环后低心排血量综合征以及高危经皮冠状动脉介入(percutaneous coronary intervention,PCI)等治疗,其应用场景涵盖重症监护室、手术室、急诊科及导管室等各类复杂环境。快速、准确地植入介入式左心室辅助泵并实时监测其位置至关重要。本文报道2例男性高危PCI患者,年龄分别为47岁、45岁,均为冠状动脉三支病变及左心室射血分数降低(<35%)。采用全超声引导技术体系完成国产介入式左心室辅助泵植入,并于介入泵辅助下行PCI治疗,手术过程顺利,2例患者介入泵辅助时间1 h,顺利撤除辅助泵。患者术后无明显介入泵及PCI相关并发症,顺利出院。Transcatheter left ventricular assist pump(LVAP)is widely used in cardiogenic shock,post-circulatory hypoperfusion syndrome and high-risk percutaneous coronary intervention(PCI),and its application scenarios cover various complex environments such as ICU,operating room,emergency department and catheterization room.It is important to quickly and accurately implant the transcatheter LVAP and monitor its position in real time.This paper reported 2 male patients with high-risk PCI,aged 47 and 45 years,both with triple coronary artery disease and reduced ejection fraction(<35%).The domestically produced transcatheter LVAP was implanted using an echocardiography guidance technology system,and PCI treatment was performed under the assistance of the interventional pump.The operation was smooth,and the interventional pump assisted for 1 h in 2 patients,and the pump was successfully removed.There were no obvious complications related to the pump and PCI after the operation,and the patients were discharged smoothly.

关 键 词：单纯超声引导 介入式左心室辅助泵 经皮冠状动脉介入 病例报告 

分 类 号：R654.2[医药卫生—外科学]