Short-term mechanical support with the Impella 5.x for mitral valve surgery in advanced heart failure-protected cardiac surgery.

Anja Osswald,Sharaf-Eldin Shehada,Alina Zubarevich,Markus Kamler,Matthias Thielmann,Wiebke Sommer,Alexander Weymann,Arjang Ruhparwar,Mohamed El Gabry,Bastian Schmack

Frontiers in cardiovascular medicine（2023）

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摘要

Protected cardiac surgery with st-MCS using the Impella 5.x is safe and feasible when applied in high-risk mitral valve surgery without st-MCS-related complications, resulting in excellent outcomes. This strategy might offer an alternative and comprehensive approach for the treatment of patients with mitral regurgitation in advanced heart failure, deemed ineligible for TEER or with need of concomitant surgery.

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关键词

Impella, short-term mechanical circulatory support, mitral valve surgery, high-risk surgery, post-operative low cardiac output, advanced heart failure, protected cardiac surgery

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