トリクバルブビカバルブシステムの下部静脈カバ義肢における重度のパラバルブ漏れのトランスキャテーター管理
Marcel A Beijk1, Robbert J De Winter1, Berto J Bouma1
1Department of Cardiology, Amsterdam University Medical Center, Amsterdam, the Netherlands.
まとめ
新型トランスキャテーターTricValveシステムは 複雑な患者の重度の三角吐を成功裏に治療しました Amplatzer Vascular Plugs IIを用いて,処置後のパラバルブラー漏れを効果的に管理しました.
科学分野:
- 心血管医学
- 介入心臓科
- 心臓外科
背景:
- 重度の三回転 (TR) は右心不全を引き起こす可能性があります.
- トランスキャテーターTricValveビカバルシステムインプラントは,TR治療の最小侵襲的な選択肢を提供します.
- 複合的な心臓病歴は 義肢弁やリンパ腫を含む 独特の管理上の課題を提示します
研究 の 目的:
- 多発性併発症の患者でTricValveバイカバルシステムの使用を報告する.
- TricValveの導入後の合併症,特に下腔パラバルブル漏れの管理について説明します.
- Amplatzer Vascular Plugs IIの効能を評価するために,義肢のパラバルブラー漏れを治療する.
主な方法:
- トランスキャセターTricValve バイカバルシステムインプラント 重度の機能的三角吐.
- アムプラッツァ血管プラグIIを用いて下腔静脈 (IVC) の漏れを治療する.
- 術前と術後の臨床的およびエコーカルジオグラフィック評価
主要な成果:
- TricValve バイカバルシステムの成功
- TricValveの植入後に IVCの大きな漏れが発生する.
- 4つのAMPLATZER Vascular Plugs IIでIVCのパラバルブラー漏れを効果的に閉じ,TRの症状を緩和しました.
結論:
- トランスキャセターTricValveの移植は,重症のTR患者にとって有効な選択肢です.
- パラバルブラー漏れは,潜在的な合併症ですが,デバイスの閉塞で成功裏に治療することができます.
- Amplatzer Vascular Plugs IIは,トランスキャテーターの介入後のIVCパラバルブラー漏れの管理に有効な解決策を提供します.
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