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podpory376936001063373113149189225262
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pacienta444036001063370103120152193226262
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Impella4168920029868272411535599661785
CP49969200298143278
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pacienta52411800298143266371433556694777901
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TAVI326011800298132271408473
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Štěpán340158001375994149212266327
Jirouš1,6811580013745721101702312759481590080369801580013729
David10231580013777131184210272
Horák1,13101580013775136174227283158715900803616191580013729
David16621580013777131184210272
Slezák1,1949158001375985140188244300224315900803622751580013729
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Lhotský1,24931580013756116176213257313370285815900803628901580013729
Vít2933158001377094131
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Štefan3573158001376094149183237298
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Ivo4311158001373186144
Bernat1,44691580013767121160220275311477315900803648061580013729
Richard4849158001376592138199254292354
Rokyta1521715800137661251812382783335538159008036
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klinika1016174001335179103164189239293
FN13321740013354124
Plzeň1479174001335983130184245
2Klinika340189007833373189001336087111172197247301
zobrazovacích6971890013348107170205258306365417470518543592652
metod13721890013392147183242305
FN17001890013354124
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častou1168240001214594133167221276
možnost14632400012184139181237292331365
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podpory29862400012157113170227283316366
Impella33722400012124107164215239262310
CP37012400012158111
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zavedené1286254001214290135183238287340389
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kontraindikace9702680012147101156189221270293348405428474524568617
zavedení1608268001214393140189246296352375
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se2335268001213990
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mj.26282680012184107128
i27772680012123
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americká17412960012148130179211234278323372
FDA21302960012148111168
z23152960012143
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rizika271429600121325597119165213
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a3403100012148
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Impelly7753100012124106162212235258305
a10973100012147
okrajem11653100012154101134182205254337
stentu1519310001213972121176207261
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poškození22563100012156111149195248289338393416
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pumpy.29823100012156110193248294310
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této890324001213382115169
podpory10773240012157113170227282315366
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pacientů15813240012157106150173223279311366
s19653240012139
implantovanou20263240012123106162186234290322376423471526581637
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někdy35563240012155106153208255
nezbytné,3403380012155106149206252288343393413
především771338001215789139196246293332355438
při1227338001215789113
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rizikové166233800121335699122168222269318
PCI19973380012154111134
nebo21493380012155105162218
v23843380012148
případě2454338001215689112169217274324
kardiogenního2795338001214796129184208262319369424479502559614
šoku,3427338001213994141196217
kdy36623380012147102149
není3403520012156107163186
vhodné5553520012148104160217273324
nebo9073520012156107165221
možné11563520012184140182238289
použít14733520012157114169213236270
jinou1771352001212548104159215
oběhovou20143520012156113164220276323378433
nebo24763520012156106164220
levokomorovou2725352001212374122176224278362418451506553607663
podporu.34173520012157113171228284317373394
V3403660012155
článku416366001214467114168214269
jsou702366001212462117171
popsány8913660012156111167206254308353
některé12613660012155105151186235267316
praktické1594366001215789137183218241285330378
tipy,1990366001213255111156172
jak2179366001212471117
lze2313366001212466115
postupovat24453660012157112150183237293348395442474
v29373660012147
případě,3004366001215789112168216271321340
že3362366001214291
je3470366001212474
nutno35613660012155109141196250
Impellu3403800012124108165216240264319
do6873800012157112
těchto828380001213383128184216271
stentovaných1127380001214074124180212267314363418464508564
chlopní,17193800012145101124180237293316337
zavést2085380001214393140189229263
a23773800012148
prezentujeme2447380001215790140184234290322378402452536587
naši30633800012155104143166
zkušenost3258380001214390146185236292347387421
na37073800012156104
konkrétním3403940012147101156203237287320376399482
případu.843394001215790114170219276330351
Klíčová340410001246290118164222274327
slova:694410001244472131183236262
impella9834110012123107164215239262311
CP,13224110012158110120
TAVI14704110012150105156181
Evolut1679411001215097151175230263
R,1971411001215477
riziková2076411001213357100123170224271320
perkutánní24244110012157108141189244278327382437461
koronární29134110012147101134189245293325382405
intervence,3346411001212479111161194245295350396445465
intravaskulární340425001212379111143192238287326373428452499532588611
litotrypse.97242500121244780134167199249307346397417
Using3404520012468111140199258
Impella6184520012428115176229258286339
CP9784520012459117
mechanical11164520012486139185245298357385431484512
heart16484520012459112166204243
support19124520012443102162223281320359
in2291452001242786
a23984520012452
patient24714520012459113150178232291328
with28194520012476104141201
TAVI30404520012455115175204
Evolut32644520012454106163191250287
We3404700012185134
present503470001215791141181233289322
the854470001213389140
rare1023470001213383116166
possibility12184700012157114154194217275299322346380430
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mechanical22214700012184135182238286342366412461485
heart27354700012156107156189225
support2989470001214095153211268301338
Impella33554700012125109166218243266315
CP36994700012158111
Smart3404840012149132180212248
Assist6064840012162102141164203237
(Abiomed)861484001212989146169224308358415444
introduced1323484001212378111143198255309354403461
through1802484001213388120175230286341
the2161484001213388139
biological2318484001215780135159214271294339387411
aortic27474840012148103136172195239
replacement3004484001213383140164212256305389439495527
Evolut3549484001214997150175229262
(Medtronic).3404980012128107158215248281335391414459486504
Among8644980012161144199255311
the1195498001213388138
absolute13534980012148105144199223278311360
contraindications1733498001214598154187219268291346402426470519552575630685724
for2477498001212984117
the2614498001213388138
introduction2772498001212378111143198255310355390413468524
of3315498001215584
Impella34194980012124107164215239262310
is3748498001212463
the340512001213388139
presence503512001215790140179230285330379
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a10155120012148
mechanical10855120012183134179234282338361406454478
aortic15875120012148103136172195240
valve1851512001214897120168218
prosthesis2093512001215790144184218273323363386425
but25425120012157112145
not27125120012155110143
that2880512001213388136168
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a31815120012149
bioprosthesis3251512001215780135193225280319353408459498521560
in340526001212378
the436526001213489139
aortic5935260012148103136172195239
position.8505260012157113152175208231286342363
However,12315260012165120193243290339372388
the1637526001213388139
US17945260012164112
FDA19245260012149114172
warns21145260012174122154210249
against23815260012148104152175230269303
the2702526001213388139
introduction2859526001212378110143197255309354389412467523
of3400526001215584
Impella35025260012124107164215239262310
through340540001213388121175230287342
the703540001213388139
Evolut863540001214996150174229262
bioprosthesis1146540001215781136193226280320353409459498521560
due17285400012156111161
to1910540001213387
the2018540001213389139
risk217854000121335696142
of2341540001215584
interactions2446540001212479111161193242287322345400456495
between29625400012157108141217267318373
the3356540001213389139
in-flow3516540001212479111141167222295
and3405540012148103160
out-flow5195540012155110143171201227283355
of893554001215584
the996554001213388139
Impella11545540012123107163215239262310
and14825540012149104161
the1661554001213389139
edge18195540012150107163214
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stent,2312554001213973123178211232
with2562554001217498131186
the2767554001213388138
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to340568001213386
the443568001213387137
pump5975680012157111193249
function.863568001212984139183218240294349370
Nevertheless,12505680012165115162210242278332382405455493532552
the1820568001213287136
insertion1974568001212377115165197233255309364
of2355568001215583
this2456568001213287109148
support2621568001213993148205260292327
even2966568001214996144199
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patients32775680012156104136159208263295335
with3629568001217396128183
an3405820012148103
implanted4675820012123106163187235290322372429
stented919582001214074123178211260317
valve1259582001214997120169218
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sometimes1700582001214095179229263286369419459
be21825820012157108
necessary,23135820012155106151200240279328360411427
particularly27635820012157106138174197242297320368400424472
in3258582001212378
the3359582001213389139
case3521582001214594133183
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PCI7285960012153111134
or884596001215588
in995596001212379
the1096596001213389139
case1258596001214493132183
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cardiogenic1570596001214594126182205261317368423446491
shock2084596001213995150195242
if2348596001212453
it2424596001212356
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or3270596001215588
feasible3380596001213080128167190247271321
to3724596001213387
use340610001215594145
another5086100012148104159192247297330
circulatory861610001214568101145200223271303357390441
or1325610001215588
left1436610001212474104140
ventricular1600610001214897153185218241286341364412445
support2068610001214094151208264297333
device.24246100012156107154178223272292
The27396100012150106157
article2919610001214981117140185208258
presents3201610001215689139179229285317358
some3582610001214095179229
practical340624001215790138183218241286335358
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on10056240012155111
how11346240012155110183
to1335624001213387
proceed1440624001215790145190239290348
in1806624001212378
the1902624001213389139
case2059624001214594133183
that2260624001213388136169
Impella24476240012124107164215239262310
has27756240012155103143
to2936624001213387
be30416240012157107
introduced3167624001212378110143198255309355404461
into3646624001212378111165
these340638001213388139178229
stented590638001213973123178211260317
valves,928638001214897120169218257278
as1227638001214988
well13366380012174123147170
as1527638001214988
our16366380012155110143
experience1800638001215097154206238262312368413462
in2283638001212379
a23836380012148
specific2452638001214096147193216245272316
case.2789638001214594133184204
Key3406540012461113164
words:5246540012476133172232276302
impella8466550012123106163214238261309
CP,11766550012158110119
TAVI13166550012150104156180
Evolut1517655001214997150174229262
R,1800655001215477
high-risk1898655001215578134189222255279318365
percutaneous22836550012157108141185240273322377428484539578
coronary2882655001214598131186242290322373
intervention,3275655001212479111160193244294349382405460515536
intravascular340669001212379111143192238287326371426449497530
lithotripsy.89166900121244780135190223255279335375423439
Úvod3407030014780142208279
V4807200010952
posledních5547200010953106144168216271324347390443
letech1034720001092271103151195248
rostou1319720001093083121154206259
počty16157200010953106150185232
PCI18857200010949105128
prováděných340734001095384136181227280328380423465517
u8857340010951
pacientů,957734001095399142164211264295347367
kteří1352734001094378124156178
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v3407480010943
minulosti402748001097495144193214264299329350
perkutánní768748001095196126168218247291341390411
implantaci1195748001092195146167210260289333373394
bioprotézy1604748001095172122173202251281325364409
aortální340762001094393123156200221271292
chlopně649762001094090111161213263309
–9747620010945
TAVI1035762001094595141164
(z1215762001092564
angl.1298762001094393144165184
Transcatheter1498762001094570114164199240284314364409440485514
Aortic3407760010955105135168189230
Valve596776001095092114158203
Implantation)825776001092197149171215265295340370391441492515
a13667760010944
to1429776001093079
včetně1534776001094484128159209255
komplexních18157760010943921682140706001095173119162212234274324
výkonů.2489706001094389132181231281300
Často2813706001095397132163212
se3050706001093681
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o33947060010950
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věku,2978720001094387129178197
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k28777340010942
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TAVI3349734001094594140163
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méně35967340010974120170215
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(1),299874800109266888105
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srdeční2888776001093665116162203253274
podpory31817760010951101153205255285331
Impelly3530776001092297149195217238281
DECLARATIONS:4068241008648871301662142563043393604124625014569241008514
Declaration406825500874987120141179207245272292334376
of445825500874166
originality:45382550087406888131151193231252272299338358
The406826600853473109
manuscript418826600855891130168195227249266306329
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or406827700853862
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elsewhere.44702770085355381117169209245269305320
Ethical406829100873764107127160198219
principles43012910087427090132165185229249288319
compliance:463529100873172134177198218256298331369388
The406830200853678116
authors420530200853475100142183208238
attest44643020085356087124154179
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Ethical44323130085345898115147182199
Committee464831300854179139198215239265300337
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