在跨食道心声学下同时进行的过程中,通过导管修复了中枢,并进行了无心脏起器植入
Ryuki Chatani1, Hiroshi Tasaka1, Sachiyo Ono1
1Department of Cardiovascular Medicine Kurashiki Central Hospital Kurashiki Japan.
Journal of arrhythmia
|October 6, 2023
概括
无心脏起器植入可在使用成像指导的对比性过敏或问题患者中可行. 通过食管回声心脏学可以在米特拉修复过程中以最小的对比度成功植入.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 干预程序 干预程序
背景情况:
- 对于植入心脏起器,对比剂通常是必要的.
- 患有对比剂过敏或功能障碍的患者对需要对比的程序构成挑战.
- 在高风险患者群体中,尽量减少对比度的使用至关重要.
研究的目的:
- 评估无心脏起器植入与最小的对比介质的可行性.
- 评估高风险患者成像指导的有用性.
- 报告一次同时进行无心脏起器植入和跨导管 mitra 门修复的病例.
主要方法:
- 在经食道心声学 (TEE) 指导下进行的无心脏起器植入.
- 同时通过导管修复额头门 (TMVR) 程序.
- 在联合手术过程中使用了最小量的对比剂.
主要成果:
- 实现了成功的无心脏起器植入.
- 这项手术是使用极少量的对比剂进行的.
- TEE指导有效地促进了复杂的程序.
结论:
- 无心脏起器植入可以安全地进行,在有禁忌的患者中与最小的对比度进行.
- 像TEE这样的成像模式对于具有挑战性的患者群体的复杂心脏干预至关重要.
- 结合TMVR和无心脏起器植入是一种可行的方法.
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