青少年和成年人的大动脉干支架:一个单一中心的经验
Arnaud Colle1, Stéphane Kajingu Enciso1, Louise Brunee1
1Department of Cardiovascular Medicine, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium.
Vascular and endovascular surgery
|June 10, 2023
概括
动脉缩支架有效地减少了压力梯度,并改善了青少年和成年人的症状. 这种安全的程序可以减少药物需求并提高行走能力,尽管年轻的患者可能需要重新干预生长.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 大动脉缩 (AoCo) 是一种先天性心脏缺陷,需要有效治疗.
- 支架为AoCo修复提供了一种最少的侵入性方法.
研究的目的:
- 评估大动脉缩支架的短期和中期结果.
- 评估AoCo支架在青少年和成人患者的疗效和安全性.
主要方法:
- 一项回顾性研究包括28名患者 (年龄大于14岁) 接受了AoCo治疗,并安置了支架 (2000-2016年).
- 测量的主要结果包括压力梯度,血压,药物使用,声状态和并发症.
主要成果:
- 在所有患者中成功安装支架,最大静脉压梯度从32 mmHg显著降低到0 mmHg.
- 平均AoCo直径从8毫米增加到16毫米.
- 35%的患者停止服用抗高血压药物;所有听药物变得无症状. 轻微的并发症包括2次外围动脉损伤和2次支架迁移.
结论:
- 大动脉缩支架是青少年和成年人安全有效的治疗方法.
- 该程序显著减少了压力梯度,允许减少药物,并改善了步行距离.
- 较年轻的患者可能需要重新干预与生长有关的问题.
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