在非常先进的三腹吐中,逐步进行跨导管边缘到边缘修复的逐步方法
Maria Ivannikova1, Tanja K Rudolph1, Kai Friedrichs1
1Clinic for General and Interventional Cardiology/Angiology, Herz-und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
JACC. Case reports
|July 3, 2023
概括
过导管边缘到边缘修复 (TEER) 在高风险患者的三角管吐中是常见的. 使用结婚整形术并随后进行TEER的逐步方法可能是高级病例的可行选择.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 三管吐 (TR) 管理通常涉及过导管边缘到边缘修复 (TEER) 对于具有高手术风险的患者.
- 然而,先进的TR可能会限制独立TEER的可行性.
研究的目的:
- 评价一个逐步的方法来管理先进的三管吐.
- 在复杂的TR病例中,评估初始无效整形术后的TEER疗法的有效性.
主要方法:
- 本系列报道的是一个逐步的干预策略.
- 这种方法涉及初始的三管结膜整形术,其次是跨导管边缘到边缘修复 (TEER).
主要成果:
- 取消整形术和随后的TEER的逐步方法被提出为一个可行的替代方案.
- 当标准TEER对于高级TR不可行时,这种策略可能有利.
结论:
- 结合结婚整形术和TEER的逐步方法为高级三管吐提供了一个潜在的解决方案.
- 这种方法扩大了手术风险过高的患者的治疗选择.
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