使用心房固定心房替代技术对患有严重心心膜吐的患者进行透过管管管的横管治疗
Vlasis Ninios1, Ilias Ninios1, Lauren S Ranard2
1Department of Cardiology, Interbalkan European Medical Center, Thessaloniki, Greece.
概括
采用只有心房固定技术的跨导管 mitra 置换 (TMVR) 为严重的 mitra 吐 (MR) 提供了一个有前途的解决方案. 这种方法证明了持续减少MR和改善患者的生活质量,没有重大不良事件.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 副心脏反 (MR) 是一种普遍存在的膜心脏病,死亡率高,需要先进的治疗选择.
- 目前的跨导管中枢替换 (TMVR) 技术面临的局限性是由于高解剖屏失效率,特别是LV外流通道阻塞.
- 只有心房固定TMVR技术提供了一种替代方法来解决这些局限性.
研究的目的:
- 描述通过转-横方法传递的只有心房固定TMVR设备的临床经验.
- 评估这种新型TMVR技术在患有严重功能性MR的患者中的安全性和有效性.
主要方法:
- 连续三个患有严重功能性MR的患者接受了TMVR植入.
- 这项手术采用了一种仅用于心房的固定装置和低调的横septal输送系统.
- 随访包括临床评估和CT成像,植入后长达6个月.
主要成果:
- 在100%的患者中取得了技术上的成功,MR的显著和持续减少.
- 患者在生活质量和纽约心脏协会 (NYHA) 课程中经历了显著的改善.
- 在随访期间没有观察到重大不良事件或与设备相关的血栓形成.
结论:
- 只有心房固定的TMVR在治疗严重的功能性MR时表现出持续的疗效和持续的植入性能.
- 这项技术可以通过保持本地 mitra annulus 动态来降低 LV 出流通道阻塞的风险.
- 带有心房固定TMVR的输-横方法提供了一种安全有效的治疗选择,具有有利的长期结果.
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