同时通过导管关闭共存的上鼻静脉缺陷和圆孔缺陷
Puthiyedath Thejaswi1, Pramod Sagar1, Kothandam Sivakumar2
1Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, 4A Dr J J Nagar, Mogappair, Chennai, 600037, India.
Pediatric cardiology
|July 28, 2023
概括
过导管闭合有效地治疗脉缺陷 (SVD) 和圆缺陷在一个单一的程序. 这种方法为手术提供了一种安全而成功的替代方案,具有有利的中期结果.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 设备关闭是圆孔缺陷的首选方法.
- 过导管阴道静脉缺陷 (SVD) 关闭是一种新兴的外科选择.
- 关闭SVD的目的是防止诸如上腔静脉 (SVC) 狭窄和鼻节功能障碍等并发症.
研究的目的:
- 评估同时关闭SVD和相关的圆腔缺陷的可行性和结果.
- 评估综合透导管方法的安全性和有效性.
主要方法:
- 同时通过气球检查SVD和圆形的缺陷.
- 覆盖式支架排除SVD,同时将装置关闭圆穴缺陷.
- 使用双侧大腿静脉来监测右上肺静脉 (RUPV).
主要成果:
- 在5名成年患者中成功结合关闭.
- 没有观察到血管并发症.
- 一名患者有轻微的残留流,中期随访 (5-72个月) 是有利的.
结论:
- 同时通过导管关闭SVD和相关的圆腔缺陷是可行的和安全的.
- 这种综合方法提供了可比的程序时间和有利的结果.
- 它为复杂缺陷的外科手术提供了一个可行的替代方案.
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