Percutaneous transvalvular left-ventricular assist system for high-risk complex coronary intervention:perioperative nursing experience
10.3969/j.issn.1672-8467.2025.06.011
- VernacularTitle:经皮跨瓣膜左心室辅助系统引导下高危复杂经皮冠状动脉介入治疗的围术期护理
- Author:
Yong-hao LU
1
;
Bing-chen XU
1
;
Yu-hao LI
1
;
Chang-lin WEI
1
;
Li ZHU
1
Author Information
1. 复旦大学附属中山医院心内科 上海 200032
- Publication Type:Journal Article
- Keywords:
percutaneous transvalvular ventricular assist system;
high risk;
percutaneous coronary intervention(PCI);
perioperative nursing;
nursing specificity
- From:
Fudan University Journal of Medical Sciences
2025;52(6):862-867
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the perioperative nursing experience for patients undergoing high-risk complex percutaneous coronary intervention(PCI)with the support of the percutaneous transvalvular left-ventricular assist system(SynFlow 3.0),and to explore the role of nursing interventions in improving procedural success and promoting patient recovery.Methods A retrospective analysis was conducted on the clinical data of 26 patients who underwent SynFlow 3.0-assisted high-risk complex PCI in Zhongshan Hospital,Fudan University between Aug 2022 and Jul 2024.Stage-specific comprehensive nursing interventions were implemented throughout the perioperative period:Preoperatively,personalized nutritional support and cardiac function optimization were provided for patients with nutritional risk(NRS≥3),hypoalbuminemia(Alb<30 g/L),or an early warning score≥4.Intraoperatively,the SynFlow 3.0 operational procedures were standardized,with reinforcement of aseptic techniques and hemodynamic monitoring.Postoperatively,patients were transferred to the ICU for continuous monitoring of circulatory parameters(blood pressure,central venous pressure,urine output,etc.)and hemolysis-related indicators,alongside active prevention of vascular complications,vagal reflex,and thrombotic events.Results The procedural success rate was 100%in all 26 patients,with no severe complications occurring.Nursing interventions effectively maintained an intraoperative mean arterial pressure≥60 mmHg.Postoperative circulatory parameters remained stable(systolic blood pressure 90-130 mmHg,urine output>50 mL/h),and no thrombotic or hemolytic events were reported.The left ventricular ejection fraction significantly increased from 32.44%±4.46%preoperatively to 38.55%±5.42%at 30 days postoperatively,and the difference was statistically significant(t=16.065,P<0.001).Conclusion The implementation of a full-process comprehensive nursing strategy for patients undergoing SynFlow 3.0-assisted high-risk complex PCI effectively stabilizes perioperative hemodynamics,reduces the risk of complications,ensures procedural safety,and promotes cardiac function recovery.
