在特定的严重的腹中修复过导管心关门技术:技巧,技巧和结果
Fatma Aboalsoud Taha1,2, Hesham Naeim1, Osama Amoudi1
1Adult Cardiology Department, Madinah Cardiac Center, Madinah, Saudi Arabia.
Structural heart : the journal of the Heart Team
|June 5, 2023
概括
使用闭塞装置进行透导管 mitra 门修复是一种新的,可行的,安全的技术,适用于因叶片穿孔或后剪贴残留问题导致严重的 mitra 回吐的高风险患者.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 严重的 mitra 吐 (MR) 提出了独特的挑战,需要创新的透管管修复技术.
- 密特拉 (MV) 病理,包括叶片穿孔和术后残留MR,需要专门的方法.
- 患有严重MR的高手术风险患者可以从最小侵入性修复选择中受益.
研究的目的:
- 评估一项新型跨导管 mitra 门修复技术的可行性和安全性.
- 评估使用封闭装置对严重的MR造成的MV传单穿孔或MitraClip后残留MR的疗效.
- 报告这种跨导管修复方法在高手术风险患者中的6个月结果.
主要方法:
- 该研究包括16名高风险患者,由于MV传单穿孔或MitraClip后残留MR而患有严重的MR.
- 通过逆行 (transaortic/transapical) 或前行 (transvenous/transseptal) 方法使用封闭装置 (Amplatzer-ASO或Amplatzer-VP-II) 进行过导管修复.
- 程序细节包括设备的平均直径,3D静脉收缩面积,程序/光镜时间,以及动脉静脉循环的使用.
主要成果:
- 该研究招募了16名患者 (9名患有MVL穿孔,7名患有MitraClip后残留MR),平均年龄为55.75岁.
- 设备部署取得了成功,没有显著的MV梯度增加或与设备相关的并发症.
- 平均手术和光镜时间分别为55.13分钟和16.25分钟.
结论:
- 使用闭塞装置修复横管导管中枢是一种可行的和安全的技术.
- 这种新的方法为高手术风险的患者提供了可行的解决方案,这些患者因MV传单穿孔或剪贴后残留MR而患有严重的MR.
- 该技术在复杂的额头肌吐病例中显示出有希望的结果.
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