介入式心室辅助装置的发展历程

The evolution history of percutaneous ventricular assist device

介入式心室辅助装置(percutaneous ventricular assist device,PVAD)作为一种微创化治疗手段,可以替代衰竭心脏的功能,为复杂冠状动脉粥样硬化性心脏病、急性心肌梗死合并心源性休克、慢性心力衰竭急性失代偿等心血管急危重症患者提供循环支持。PVAD的发展从Hemopump的崛起到Impella的繁荣,越来越多地用于血流动力学支持从而改善预后。本文将对PVAD的发展历程及临床应用进行综述。

Percutaneous ventricular assist device(PVAD)is a minimally invasive treatment which can replace the function of the failing heart.It provides circulatory support for patients with severe emergent cardiovascular diseases such as complex coronary artery disease,acute myocardial infarction complicated by cardiogenic shock,and acute decompensated chronic heart failure.PVAD has been developed since the rise of the Hemopump,to the prosperity of the Impella,and increasingly been used as a haemodynamic support to improve prognosis.This article will review the evolution and clinical application of PVAD.