●Pennsylvania大学内科学教授，心力衰竭/移植项目主任
    ●AHA 2010科学计划委员会主席，2005版 心力衰竭指南更新执笔（2009）委员会主席
    ●主要研究领域：舒张性心力衰竭、心室辅助装置、心脏病和心力衰竭结局

    :  Research and application of continuous-flow ventricular assist devices is increasing and recent data reported superiority of these devices to pulsatile assist devices to some extent. What is your view of the merits of these two different types of devices?

  《国际循环》：我们看到恒流式心室辅助装置（VAD）的研究和应用日益广泛，近期的一些数据报道搏动式VAD优于恒流式VAD。您怎么看这两种类型VAD的优势和劣势？
 

      Prof. Jessup : The advantages of the non-pulsatile VADs are that they have a smaller imprint so the surgery to implant them is better tolerated and they also accordingly have a decreased infection rate. The original fear was that these devices would not be able to deliver enough cardiac output and I do not think that this has been proven to have been shown. We still have to struggle with right ventricular failure and these devices will not help overcome right ventricular failure anymore than the pulsatile pumps.

    Jessup教授：我认为，非搏动式VAD的优势是手术疤痕更小，因此手术植入的耐受性更好，感染的发生率更低。最初我们担心非搏动式VAD不能产生足够的心输出量，不过到现在也没有证实这一点。目前右心衰竭的治疗还相当棘手，对此非搏动式VAD并不比搏动式VAD更好。

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