device therapie at RWTH Aachen

Flashcards and summaries for device therapie at the RWTH Aachen

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Mechanische Unterstützungssysteme bei Herzversagen

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IABP

Exemplary flashcards for device therapie at the RWTH Aachen on StudySmarter:

IABP prinzip
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IABP Technik

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Indikation IABP

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KI IABP

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Assist System prinzip
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Indikation assist systeme

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Nenne Assist-Systeme

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intrakardiale Turbinenpumpen

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LVAD-Linksherzunterstützun
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Rechtsherzunterstützung

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Exemplary flashcards for device therapie at the RWTH Aachen on StudySmarter:

device therapie

Mechanische Unterstützungssysteme bei Herzversagen
Intraaortale Ballonpumpe (IABP)
Assist-Systeme
Schrittmachertherapie

device therapie

IABP
Intraaortale ballonpumpe

device therapie

IABP prinzip
EKG‐synchronisierte Gegenpulsation eines mit Helium gefüllten intraaortalen Ballonkatheters, rasches Kollabieren des Ballon während der Anspannungsphase des Herzens senkt den Aortendruck und damit die linksventrikuläre Nachlast, Wiederaufblasen während der Diastole erhöhte den Aortendruck und verbessert die Koronarperfusion

device therapie

IABP Technik
Einführen des Ballonakatheters (Füllungsvolumen 30‐40ml) über eine Femoralarterie bis in den proximalen Anteil der Aorta ascendens

device therapie

Indikation IABP
medikamentös nicht beherrschbare Linksherzinsuffizienz

device therapie

KI IABP
Aortenklappeninsuffizienz, Aortenbogenaneurysma, schwere Verkalkungen der Aorta ascendens, isolierte Rechtsherzinsuffizienz, komplettes Linksherzversagen

device therapie

Assist System prinzip
Uni‐bzw. biventrikuläre Blutpumpen, die zur Entlastung eines od. beider Ventrikel eine definierte Menge des HMV übernehmen, ihr Antrieb befindet sich extra‐ od. intrathorakal

device therapie

Indikation assist systeme
akute Myokarditis od. Postinfarktphase, briding to transplant, terminale Herzinsuffizienz und KI zur Transplantation (Alter, Organfunktionsstörungen)

device therapie

Nenne Assist-Systeme
intrakardiale Turbinenpumpen (zB Impella‐System)
LVAD-Linksherzunterstützung
Rechtsherzunterstützung

device therapie

intrakardiale Turbinenpumpen
werden über die
Leistenarterie od. die Aorta ascendens zur Entlastung des linken Ventrikels
eingeführt

device therapie

LVAD-Linksherzunterstützun
zur Entlastung des
linken Ventrikels durch Drainage des arteriellen Blutes über die Spitze des linken Ventrikels und Reperfusion des Blutes in die Aorta ascendens mittels Rotationspumpen/pneumatisch bzw. elektrisch betriebener Pumpen, der Antrieb liegt extern

device therapie

Rechtsherzunterstützung
Drainage über den rechten Vorhof und Reperfusion in die A. pulmonalis, Rechtsherzunterstützungsssysteme werden idR nur in Kombination mit einem LVAD zur biventrikulären Unterstützung eingesetzt
(BIVAD)

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Hydrotherapie

Symptom Diagnose Therapie

Symptom Diagnose Therapie

Therapie

Diagnostik & Therapie

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