First-in-man successful use of the SPECTRUM percutaneous dual-stage right ventricle and right atrium to pulmonary artery ventricular assist device.
First-in-man successful use of the SPECTRUM percutaneous dual-stage right ventricle and right atrium to pulmonary artery ventricular assist device.
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DOI：
10.1111/jocs.16753
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发表时间：
2022-10
影响因子：
1.6
通讯作者：
Gutsche, Jacob
中科院分区：
文献类型：
--
作者：
Usman, Asad A.;Spelde, Audrey E.;Olia, Salim E.;Cevasco, Marisa;Bermudez, Christian;Haddle, John;Ibrahim, Michael;Szeto, Wilson;Vernick, William;Gutsche, Jacob
关键词：
Over the past decade several minimally invasive mechanical support devices have been introduced into clinical practice to support the right ventricle (RV). Percutaneous cannulas are easy to insert, minimally invasive, and treat acute RV failure rapidly. In December 2021, the Food and Drug Administration approved a new 31 French dual lumen single cannula for use as a right ventricular assist device. This cannula, manufactured by Spectrum, is dual staged. It has inflow ports positioned both in the right atrium as well as the right ventricle for maximal drainage of the right heart. The distal end of the cannula which includes the outflow port is positioned in the pulmonary artery. This design optimizes venous drainage as well as limits suck-down events. Theoretically, direct RV decompression also decreases RV dilation and wall tension, and facilitates improved transmural pressure gradient to reduce RV strain. Here we describe the first-in-man successful use of the dual stage RA and RV to PA Spectrum cannula in a patient with severe COVID ARDS and acute right ventricular failure, bridged to recovery.
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