The experience of cardiopulmonary bypass management of left ventricular assist device surgery
Wang Jian
Gao Guodong
Yuan Yuan
Yan Shujie
Liu Gang
Gao Sizhe
Yan Weidong
Wang Jing
Zhang Han
Wang Tianlong
Ji Bingyang
Abstract：Objective To summarize the experience of cardiopulmonary bypass management of left ventricular assist device surgery in order to improve the prognosis of patients.Methods Retrospective analysis of the management points and clinical data of 42 cases of left ventricular assist device implantation performed in the Department of Cardiology,Fuwai Hospital,2017.6-2021.12 were conducted.Results 42 patients underwent left ventricular assist device insertion surgery,and all of them were successfully removed from the extracorporeal circulation assist.Among them,37 patients survived with pumps,2 patients had heart transplantation,1 patient had improved heart function and removed LVAD,1 patient died of lung infection and 1 patient died of multiple organ failure.Conclusion Most patients with LVAD have long-term chronic heart failure.Modified preflushing scheme,controlled ultrafiltration volume,optimized volume management,and adjusted flow rate are compatible with ventricular assist devices to improve patient prognosis.
Keywords：End-stage heart failureLeft ventricular assist deviceCardiopulmonary bypass management
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 171-176 )