在使用ACURATE Neo进行TAVR后,结构的严重恶化:报告了两起病例
Thibault Schaeffer1, Luca Koechlin1, Raban Jeger2
1Department of Cardiac Surgery, University Hospital Basel, University of Basel, Basel, Switzerland.
Frontiers in cardiovascular medicine
|June 12, 2023
概括
跨导管大动脉置换 (TAVR) 后的结构恶化 (SVD) 是罕见的. 这份报告详细介绍了由于传单中断而导致ACURATE Neo门故障的两个案例,强调了对TAVR SVD机制进行进一步研究的需要.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 干预心脏病学 干预心脏病学
背景情况:
- 结构损伤 (SVD) 是通过导管的大动脉置换 (TAVR) 的不常见并发症.
- 关于TAVR后SVD的具体机制和临床表现的文献有限,特别是关于自扩张的ACURATE Neo.
- 了解TAVR SVD对于改善长期假肢耐用性至关重要.
研究的目的:
- 报告TAVR后ACURATENeo的两例严重生物修饰失败的病例,原因是传单中断.
- 讨论TAVR后SVD的发生率,重点关注ACURATE Neo假肢的耐用性和故障模式.
- 为有限的关于TAVR相关SVD的文献做出贡献.
主要方法:
- 在ACURATE Neo TAVR.之后,两名患者经历了严重的生物假体失败的病例报告.
- 作为对假肢失败的治疗方式的外科动脉置换.
- 关于TAVR SVD,ACURATE Neo耐用性和生物故障模式的文献综述.
主要成果:
- 鉴定了由于传单中断导致的ACURATE Neo跨导管大动脉失效的两个病例.
- 这两名患者都通过手术更换大动脉进行了成功治疗.
- 文献审查表明需要更多关于ACURATE Neo耐久性和SVD的数据.
结论:
- 在TAVR后的ACURATE Neo门中,小册子中断可能会导致严重的结构门恶化.
- 手术更换大动脉是一种可行的治疗方法,用于治疗ACURATE Neo生物修饰器的失败.
- 对TAVR SVD进行进一步的调查,特别是对于像ACURATE Neo这样的自扩张门,有必要改善长期结果.
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