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Temporäre Herz- und Lungenunterstützung

Wann, was und wie?

Temporary cardiopulmonary support

When, what, and how?

  • Operative Techniken
  • Published:
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Seit der Erfindung der ersten Herz-Lungen-Maschine in den 50er Jahren wurden immer kleinere und effizientere Geräte entwickelt, um Herz- und Lungenfunktion vorübergehend zu unterstützen oder gar vollständig zu übernehmen. Heutzutage existieren sehr viele verschiedene Arten und Modelle der temporären Herz- und Lungenunterstützung. Diese Systeme können entweder aktiv – mit einer Pumpe – oder passiv das Blut aus dem Kreislauf entnehmen, dann außerhalb des Körpers mit O2 anreichern und/oder lediglich das CO2 eliminieren und schließlich dieses Blut entweder ins venöse oder ins arterielle System zurückleiten. Dieser Artikel soll einen Überblick über die Möglichkeiten der temporären Herz- und Lungenunterstützungssysteme, deren Indikationen, Risiken und das Management geben.

Abstract

Since the invention of the first heart–lung machine in the 1950s, there has been tremendous progress towards smaller and more efficient devices for extracorporeal circulation (ECC). Today, various types and models of assist devices for temporary support of cardiac and pulmonary function are available. These systems can be active (with a pump) or passive using arterial pressure to transport the blood through the extracorporeal components. Within this extracorporeal circulation, the blood is oxygenated and/or only CO2 is eliminated from the blood. Finally, the blood is transported back into the venous or arterial system. This article explains the different modes of temporary extracorporeal life systems (ECLS) as well as their indications, risk and management.

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Authors and Affiliations

  1. Klinik für Herzchirurgie, Herzzentrum Leipzig, Universität Leipzig, Strümpellstr. 39, 04289, Leipzig, Deutschland

    A. Mühle, J. Garbade, A.J. Rastan, S. Lehmann, K. Krämer & F.W. Mohr

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  1. A. Mühle
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  2. J. Garbade
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  3. A.J. Rastan
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  4. S. Lehmann
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  5. K. Krämer
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  6. F.W. Mohr
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Correspondence to A. Mühle.

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Mühle, A., Garbade, J., Rastan, A. et al. Temporäre Herz- und Lungenunterstützung. Z Herz- Thorax- Gefäßchir 26, 94–102 (2012). https://doi.org/10.1007/s00398-012-0917-7

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  • DOI: https://doi.org/10.1007/s00398-012-0917-7

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