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TandemHeart: perkutanes rechtsventrikuläres Assist Device

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Mechanische Unterstützung im akuten Kreislaufversagen

Zusammenfassung

Das akute Rechtsherzversagen ist mit einer hohen Mortalität verbunden. Das TandemHeart ist eine extrakorporale Zentrifugalpumpe, die zur rechts-, links- und biventrikulären mechanischen Unterstützung zugelassen ist. Im Falle der Rechtsherzinsuffizienz wird der rechte Ventrikel umgangen, indem das Blut über eine perkutane Duallumenkanüle (ProtekDuo) aus dem rechten Vorhof drainiert und in Verbindung mit dem TandemHeart aktiv in die Pulmonalaterie gepumpt wird. Die Implantation der ProtekDuo-Kanüle wird mittels minimalinvasivem Zugang in Seldinger-Technik über die rechtsseitige Vena jugularis interna durchgeführt und erlaubt eine vollständige Mobilisation durch Vermeidung eines Leistengefäßzuganges. Die Indikationen umfassen das akute Rechtsherzversagen im kardiogenen Schock, nach Rechtsherzinfarkt, im Rahmen einer LVAD-Implantation bei bestehender rechtsventrikulärer Insuffizienz bei Lungenarterienembolie sowie im perioperativen Umfeld von Hochrisikotrikuspidalklappenoperationen. Ziel der Unterstützung ist die temporäre Entlastung des rechten Ventrikels, eine ausreichende venöse Drainage und das Aufrechterhalten eines suffizienten pulmonalarterien Blutflusses, wodurch eine unmittelbare Stabilisierung der Kreislaufsituation im akuten Rechtsherzversagen gelingt.

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Author information

Authors and Affiliations

  1. Thorax- und Kardiovaskuläre Chirurgie, Universitätsklinikum Essen, Westdeutsches Herz- und Gefäßzentrum Essen, Klinik für Thorax- und Kardiovaskuläre Chirurgie, Essen, Deutschland

    Anja Oßwald & Arjang Ruhparwar

  2. Herzchirurgie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    Bastian Schmack

Authors
  1. Anja Oßwald
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  2. Arjang Ruhparwar
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  3. Bastian Schmack
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Corresponding author

Correspondence to Anja Oßwald .

Editor information

Editors and Affiliations

  1. Klinik für Herzchirurgie, Universitätsklinikum Düsseldorf, Düsseldorf, Germany

    Udo Boeken

  2. Klinik für Herzchirurgie, Universitätsklinikum Düsseldorf, Düsseldorf, Germany

    Alexander Assmann

  3. Klinik für Herzchirurgie und Gefäßchirurgie, Segeberger Kliniken GmbH, Bad Segeberg, Germany

    Stefan Klotz

  4. Herzchirurgische Klinik und Poliklinik, Klinikum der Universität München, München, Germany

    Frank Born

  5. Kardiologie, Kerckhoff-Klinik GmbH, Bad Nauheim, Germany

    Andreas Rieth

  6. Klinik für Herz-, Thorax- und herznahe Gefäßchirurgie, Universitätsklinikum Regensburg, Regensburg, Germany

    Christof Schmid

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Oßwald, A., Ruhparwar, A., Schmack, B. (2020). TandemHeart: perkutanes rechtsventrikuläres Assist Device. In: Boeken, U., Assmann, A., Klotz, S., Born, F., Rieth, A., Schmid, C. (eds) Mechanische Unterstützung im akuten Kreislaufversagen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59901-3_8

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  • DOI: https://doi.org/10.1007/978-3-662-59901-3_8

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-59900-6

  • Online ISBN: 978-3-662-59901-3

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