用Gore® Cardioform隔膜封闭器关闭心房缺陷后的左心房盘血症:一个案例系列
Peter Kramer1,2, Bernd Opgen-Rhein1,2, Felix Berger1,2,3
1Department of Congenital Heart Disease - Pediatric Cardiology, Deutsches Herzzentrum der Charité, Berlin, Germany.
概括
在心房缺陷关闭后,即使使用抗血小板疗法,也可能发生晚期器官血栓形成. 为检测这些罕见但严重的并发症,对于Gore® Cardioform隔膜封闭装置,定期进行心声回声可能是值得建议的.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 血栓形成的原因之一是血栓形成.
背景情况:
- 设备关闭是一种常见的治疗专利卵孔 (PFO) 和心房隔膜缺陷 (ASD).
- 虽然通常是安全的,但可能会发生罕见的并发症,如器件血栓形成,影响患者的结果.
研究的目的:
- 在用戈尔® Cardioform隔膜封闭器 (GSO) 关闭后报告三例左心房器械血栓.
- 突出潜在的晚发症并发症,并为后续策略提供信息.
主要方法:
- 对三名患有GSO植入后装置血栓症的患者的回顾性审查.
- 使用了临床评估,神经成像和心声回声学.
- 治疗策略包括手术扩张和抗凝药.
主要成果:
- 这三名患者都出现了症状的神经功能障碍和脑血栓栓塞.
- 血栓形成发生晚期 (大约. 2年) 在两名患者中,尽管在1名患者中进行了抗血小板治疗.
- 在干预后的所有患者都实现了有利的神经恢复.
结论:
- 晚期左心房器械血栓是GSO装置的潜在并发症.
- 对于GSO设备,可能需要定期进行超过6个月的心声回声监测.
- 对于PFO/ASD关闭,需要进一步的关于设备安全和抗血栓治疗方案的长期数据.
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