左心辅助装置植入术后发生急性肾损伤危险因素的研究进展

Research progress on risk factors for acute kidney injury following left ventricular assist device implantation

  • 摘要: 心力衰竭作为多种心脏疾病的严重后果或晚期表现,具有高发病率、高病死率和高再住院率的特点,并显著降低了患者的生活质量。尽管新药物和新技术的不断改进提高了心力衰竭的治疗效果,但每年仍有5%~10%的患者病情进展至终末期心力衰竭。心脏移植是提升终末期心力衰竭患者生活质量和生存率的有效方法,但供体稀缺,无法满足临床需求。在这种情况下,左心辅助装置(LVAD)植入术为这些患者提供了一个极具前景的替代治疗方案。急性肾损伤(AKI)是LVAD植入术后常见的并发症之一,其发病率和病死率均较高。本文整合了相关研究成果和文献,旨在探讨LVAD植入术后患者发生AKI的风险因素。

     

    Abstract: Heart failure, as a severe consequence or late-stage manifestation of various cardiac conditions, is marked by high morbidity, high mortality, and high rates of readmission, significantly compromising patients′quality of life. Despite ongoing advancements in novel drugs and technologies that have improved the clinical efficacy of heart failure, 5% to 10% of patients still progress to end-stage heart failure annually. Heart transplantation stands as an effective approach to enhance both the quality of life and survival rates for patients with end-stage heart failure. However, due to the scarcity of donor organs, it falls short of meeting the needs of a large number of patients. In this scenario, left ventricular assist device (LVAD) implantation emerges as a promising alternative therapeutic option for these patients. Acute kidney injury (AKI) represents one of the common complications encountered after LVAD implantation, with notable morbidity and mortality rates. This article synthesized relevant research findings and literature to investigate the risk factors associated with the development of AKI in patients following LVAD implantation.

     

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