摘要
Objective To review the experience of using left ventricular assist (LVAD) in coronary artery bypass grafting (CABG). Methods The data of 1 704 CABG cases were analyzed. 25 patients required LVAD after CABG (1. 5% ,25/1704). Results About 78% of 25 patients were weaned off LVAD, and 48% of them were discharged. IABP was used in 88% of patients. The major complications were MOF,lung disease,renal insufficiency/ failure, arrhythmia, coapulopathy, and infection. The causes of death were MOF, pump failure, renal failure, venticular fibrillation, respiratory failure, bleeding. Conclusion LVAD is a very useful tool in salvaging left ventricular failure. LVAD should be used as early as possible. Before weaning, trials should be madeat decreasing flow rates. 11 refs,2 tabs.
Objective To review the experience of using left ventricular assist (LVAD) in coronary artery bypass grafting (CABG). Methods The data of 1 704 CABG cases were analyzed. 25 patients required LVAD after CABG (1. 5% ,25/1704). Results About 78% of 25 patients were weaned off LVAD, and 48% of them were discharged. IABP was used in 88% of patients. The major complications were MOF,lung disease,renal insufficiency/ failure, arrhythmia, coapulopathy, and infection. The causes of death were MOF, pump failure, renal failure, venticular fibrillation, respiratory failure, bleeding. Conclusion LVAD is a very useful tool in salvaging left ventricular failure. LVAD should be used as early as possible. Before weaning, trials should be madeat decreasing flow rates. 11 refs,2 tabs.
出处
《外科研究与新技术》
2003年第2期108-108,共1页
Surgical Research and New Technique
