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解释MitraClip设备的病理愈合反应
Elena Ladich1, Mary Beth Michaels, Russell M Jones
1Medical Director/President, CVPath Institute, Inc, 19 Firstfield Rd, Gaithersburg, MD 20878, USA. rvirmani@cvpath.org
Circulation
|March 23, 2011
概括
该MitraClip设备显示出出色的机械完整性,并随着时间的推移开发出稳定的纤维封装. 这种在人体研究中观察到的愈合过程涉及组织桥梁,并有助于结构稳定.
科学领域:
- 心血管研究的心血管研究.
- 医疗器械技术 医疗器械技术
- 组织病理学 组织病理学
背景情况:
- 内血管边缘到边缘修复研究 (EVEREST) 评估了MitraClip设备.
- 在MitraClip植入后,人类的愈合反应以前没有被描述.
研究的目的:
- 为了描述MitraClip设备植入后人类的愈合反应.
- 评估MitraClip设备的长期组织学整合.
主要方法:
- 来自50名患者的67个解释的MitraClip设备的组织学评估.
- 分析了四个植入间隔的扩展物:急性,亚急性,慢性和长期.
主要成果:
- 急性反应:血小板/纤维素沉积. 亚急性反应:颗粒组织和早期的形形成.
- 慢性反应:设备手臂之间的组织桥梁. 长期反应:富含原蛋白的矩阵与完整的纤维封装.
- 没有证据表明内心炎,机械磨损,骨折或腐蚀观察到的设备.
结论:
- MitraClip设备的机械完整性一直保持到爆炸.
- 观察到四个不同的生理愈合阶段:沉积,炎症,颗粒和封装.
- 长期纤维封装和组织桥梁增强结构稳定性和传单连续性.
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