终末期心力衰竭左心室辅助装置植入术后神经系统并发症的危险因素

Neurological complications risk factors in end-stage heart failure patients after left ventricular assist devices implantation

左心室辅助装置植入术是除心脏移植外治疗终末期心力衰竭的有效手段,术后易发生神经系统并发症,以缺血性和出血性卒中常见。本文综述常见的左心室辅助装置植入术后神经系统并发症并总结其危险因素,提出早期预防及管理策略,为终末期心力衰竭左心室辅助装置植入术围手术期和长期管理提供指导。

Left ventricular assist devices(LVAD)implantation is an effective treatment for end-stage heart failure in addition to heart transplantation.Neurological complications,especially ischemic stroke and hemorrhagic stroke,are the most common complications in patients after LVAD.This paper reviews the common neurological complications and its risk factors in patients after LVAD,and proposes early prevention and management strategies to provide guidance for the perioperative and long-term management of LVAD implantation in end-stage heart failure.