Gastrointestinal bleeding after continuous-flow left ventricular device implantation: review of pathophysiology and management.

Gastrointestinal bleeding after continuous-flow left ventricular device implantation: review of pathophysiology and management.
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DOI:
10.14797/mdcj-11-1-24
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发表时间:
2015-01-01
影响因子:
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通讯作者:
Monsour, Howard P Jr
Monsour, Howard P Jr
中科院分区:
其他
文献类型:
--
作者:
Guha, Ashrith;Eshelbrenner, Carrie L;Monsour, Howard P Jr

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胃肠道出血是使用连续流左心室辅助装置的患者最常见的并发症之一。虽然确切的病理生理学尚不清楚,但持续血流生理学、获得性血管性血友病和胃肠道动静脉畸形的形成都有牵连。在护理这些患者时,需要个性化的内镜治疗和抗凝治疗计划。
Gastrointestinal bleeding is one of the most common complications in patients with continuous-flow left ventricular assist devices. Though the exact pathophysiology is still unclear, continuous-flow physiology, acquired Von Willebrand disease, and formation of arteriovenous malformations in the gastrointestinal tract are implicated. An individualized plan of endoscopic therapy and anticoagulation management is required when caring for these patients.