有几种不同类型的食品和药物管理局（FDA）批准，并由UCSF使用的心室辅助装置的。 The most common type, known as an LVAD, supports the left ventricle, or pumping chamber, of the heart. But there are also devices that support the right ventricle (RVADs) and biventricular assist devices (BiVADS), which support both chambers. Our team will determine which is the best option for your particular case.
所有的心室辅助装置由几个部分组成。 A small tube is connected to the heart and carries blood to the pump, which may be external or implanted in either the abdomen or chest. Another tube carries blood from the pump back to your aorta, the major blood vessel, which distributes blood to the arteries throughout your body. There is also a control system that is worn externally and a power source, consisting of batteries that are worn either around the waist or over the shoulder. The VAD's external parts are connected to the internal parts via a tube through the side of your abdomen.
直到最近的心室辅助装置是太大，适合很多人的胸前，特别是妇女和儿童。 But thanks to new smaller, more reliable devices, VADs are now an option for most people who need them.
在评估过程中，我们将讨论不同类型的心室辅助装置的可用且这可能是您的最佳选择。 You will have the chance to ask any questions you have about the device and procedure.
- 你在等心脏移植。该VAD将暂时植入，你可以回家，而你等待捐赠心脏变得可用。 When you receive your new heart, the VAD will be removed. This temporary use of a VAD is called "bridge therapy."
UCSF已经使用新批设备中，HeartWare可心室辅助系统，它是一个传统的LVADs更小，更轻开始。 It is compact enough to implant in the chest, next to the heart, rather than in the abdomen, and it can be used in smaller patients. The HeartWare VAD also has a mechanical system that is more durable and less prone to complications than existing VADs. Unlike conventional VADS that pump in the same way as your heart, the HeartWare device allows a continuous stream of blood to flow through your heart, so you do not have a normal pulse, even though your body is getting the blood it needs.
- 你不适合做心脏移植手术。VAD的可以是一个长期的解决方案，以帮助你的心脏更好地工作，当药物是没有帮助，但你没有资格获得移植。 In this case, the VAD will be permanently implanted, a treatment known as "destination therapy." It can significantly improve your quality of life.
心室辅助装置做出来的风险，包括中风的危险与任何重大手术所带来的风险，以及，在切口或心脏出血或感染。 There is also an ongoing risk of infection at the wound site where tubing connects the internal pump to the external power source. Procedure
得到一个VAD之前，你将接受测试，以评估你的心脏功能，并确保你足够健康接受手术。bob体育足球比分 These may include: a chest x-ray, an echocardiogram, an electrocardiogram (EKG), blood tests or cardiac catheterization.
植入VAD需要在全身麻醉下心脏直视手术。 You will be asleep for the procedure and will not feel anything. The surgery takes about four to six hours. Afterward, you will be transferred to the intensive care unit for recovery. You will be on a respirator, or breathing machine, until you are awake and able to breathe on your own.
在您住院期间，我们将指导您和您所选择的设备，包括如何维持和保护，并在紧急情况下该怎么做你的看护者的家庭成员或朋友。 By the time you leave the hospital, you and your caregiver will be experts on your VAD.
如救护车或消防部门 - - 我们将与您的初级保健医生和紧急服务通信在您居住的城镇，提醒他们，你有VAD，并解释这意味着什么，你照顾。
曾经你回家，你需要做日常检查，以确保设备工作正常。 This takes just a few seconds and all you need do is press a button that cues the device to run a self-test. Your caregiver will also need to change the dressing covering the site where the device exits your body. This takes 15 to 30 minutes. Depending on the type of VAD used, you may need to take a blood thinner medication.
您将无法游泳或洗澡，但一旦出口部位已经痊愈，你就可以采取使用保护弄湿该设备的特殊覆盖阵雨。 It's possible to damage your VAD by touching certain electronic equipment, so your health care team will instruct you about handling electronic equipment before you're discharged from the hospital.
当你出院，你会得到的联系信息机械循环支持程序球队。 If you have any problems with your VAD, you will be able to reach your support person 24 hours a day, seven days a week.