アカルディアック,アセファリック双子の動脈の閉塞
R P Porreco1, S M Barton, A D Haverkamp
1AMI St Luke's Perinatal Program, University of Colorado Health Services Center, Denver 80203.
Lancet (London, England)
|February 9, 1991
まとめ
新しいコイル挿入技術により,心不全の双子の血流が成功裏に停止し,健康な双子を心臓のストレスから保護しました. 健康な双子は正月出産され,新生児の発症は正常でした.
科学分野:
- ペリナトロジー (Perinatology) とは
- 妊産婦・胎児医学について
- 介入性心臓病学 介入性心臓病学
背景:
- 心臓の双子の異常形成は,心臓の負担が増加したため,健康な共同双子に重大なリスクをもたらします.
- 心不全双子の既存の手術は,母親に重大なリスクをもたらす可能性があります.
研究 の 目的:
- アカルディアック,アセファリック・ツイン・マルフォーメーションの治療のための新しい,最小侵襲的技術について説明します.
- 共同双子を保護するために,心不全双子の動脈血栓症を誘導する有効性を評価する.
主な方法:
- 螺旋型の金属コイルを心不全双子の動脈に挿入した.
- コイルは,血栓を誘発し,直ちに血流を遮断するように設計された.
主要な成果:
- 心臓の双子への動脈の流れは,処置後すぐに中断されました.
- 健康なコツインは妊娠39週で出産されました.
- 新生児は正常な臨床経過を示した.
結論:
- コイル誘発性動脈血栓症は,心不全,アセファリック双子の異常形成の管理のための安全で効果的な方法です.
- このテクニックは,異常な循環に関連するリスクを軽減し,共ツインの結果を改善します.
- それは,従来の外科的方法に対する潜在的に危険性が低い代替案を提供します.
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