Nursing care for 5 patients undergoing heart transplantation following removal of implantable left ventricular assist devices
10.3761/j.issn.0254-1769.2025.08.014
- VernacularTitle:5例植入式左心室辅助装置撤除后行心脏移植手术患者的护理
- Author:
Yan MA
1
;
Xiangyu WANG
;
Meina ZANG
;
Conghui GUO
;
Haiying XING
;
Rong WU
;
Qingyin LI
Author Information
1. 100037 北京市 中国医学科学院阜外医院手术室
- Publication Type:Journal Article
- Keywords:
Left Ventricular Assist Device;
Heart Transplantation;
Infection Control;
Perioperative Nursing
- From:
Chinese Journal of Nursing
2025;60(8):981-985
- CountryChina
- Language:Chinese
-
Abstract:
This study summarizes the preoperative and intraoperative nursing experience in 5 cases of bridge-to-transplant heart transplantation with left ventricular assist device(LVAD)explant.Key points of nursing include:preoperative care and assessment of LVAD patients,preoperative discussion of the multidisciplinary team,safe transfer of patients to surgical rooms and other preoperative preparation,cardiomyocardial protection and multidisciplinary team cooperation during bridging transplantation,and intra-operative patient safety management.All 5 patients in this group successfully completed the surgery and were discharged.Pressure sores,wound infections,and other postoperative complications have not occurred.Postoperative cardiac function of 5 patients in this group were classified as New York Heart Association class Ⅰ～Ⅱ.The follow-up period for the 5 patients in this group ranged from 6 months to 6 years.The results of the most recent echocardiography follow-up showed that the left ventricular ejection fraction of all patients was all above 65％,with well prognosis.
