在三维打印指导下,跨的并发性跨septal transcatheter 关闭一个巨大的 mitra paravalvular 泄漏
Ping Jin1, Yiwei Wang1, Yang Liu1
1Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi'an, China.
概括
过导管的关闭有效地治疗了一名高危患者的巨型关漏 (PVL). 这种以3D打印为指导的创新方法为复杂的PVL案例提供了可行的解决方案.
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
- 医疗成像医学成像
背景情况:
- mitra paravalvular leak (PVL) 是手术置换后的一种严重并发症,严重影响患者的健康和生存.
- 过导管关闭已经成为PVL可行的替代治疗方法,特别是在具有高手术风险的患者中.
研究的目的:
- 为了描述在一个具有高手术风险的患者中成功关闭巨型 mitra PVL 的跨导管关闭.
- 突出患者特异性3D打印在规划复杂的干预程序中的实用性.
主要方法:
- 一名65岁的患者患有巨大的部PVL (25.0毫升体积,13.0厘米2面积) 经历了透导管关闭.
- 使用两种安普拉特泽血管插头II装置 (14毫米和16毫米) 进行了横管同时横管的方法.
- 一个针对患者的3D打印模型被用于解剖学可视化和程序模拟.
主要成果:
- 通过导管的闭合程序在技术上是成功的.
- 患者的症状显著改善,在1个月的随访中达到纽约心脏协会的I类功能水平.
结论:
- 过导管关闭是巨型和复杂的部PVL的可行和有效的治疗方法.
- 通过3D打印引导的规划可以提高复杂的透导管干预的安全性和成功性.
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