心室辅助装置新进展

Advance in ventricular assist devices and current controversies

心脏移植是治疗严重心力衰竭的主要手段,患者术后生存率和生活质量均有提高.由于供体短缺,心脏移植手术量无明显增加.左心辅助装置可用于心脏移植过渡、终点治疗以及心肌恢复治疗.对于老年患者,左心辅助装置常可替代心脏移植.本文对心室辅助装置治疗心力衰竭效果、争论问题及展望作一综述.

Advanced heart failure（AHF）is a global epidemic with high morbidity and mortality.Heart transplantation has been the main method for the treatment of AHF.However, for the extreme shortage of organ donations, heart transplanta-tion is no obvious increase.Left ventricular assist devices（LVADs）have become a viable therapeutic approach as a bridge to heart transplantation, as well as destination therapy or part of the bridge to recovery.This review focuses on the therapeutic effect with VAD, current controversies and prospects.