同时用于严重的大动脉狭窄和大动脉年结的跨吸管大动脉/心心交叉导管置换
Alicja Zientara1, Alison Duncan2, Ee Ling Heng2
1Department of Cardiac Surgery, Guy's and St Thomas' NHS Foundation Trust, Royal Brompton Hospital, London, United Kingdom.
JACC. Case reports
|October 23, 2023
概括
这项研究详细介绍了第一个成功的跨导管大动脉置换 (TAVR) 和跨导管 mitra 置换在 mitra 环状化 (TMVR-in-MAC) 的联合案例. 这种新的方法为复杂的心脏膜疾病提供了潜在的解决方案.
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
- 心脏外科手术 心脏外科手术
背景情况:
- 伴随着环化 (MAC) 的 mitra regurgitation (MR) 带来了重大的外科手术挑战.
- 现有的使用TAVR设备的MAC门程序显示出不理想的结果.
- 透导管中枢置换 (TMVR) 是一个新兴的替代方案,但很少报告TAVR和TMVR的结合.
研究的目的:
- 描述第一个同时进行过导管大动脉置换 (TAVR) 和过导管 mitra 置换在 mitra 环状化 (TMVR-in-MAC) 过程中的报告病例.
- 突出这种综合方法在管理复杂的膜心脏病中的可行性和潜力.
主要方法:
- 该程序涉及同时或连续植入TAVR和TMVR设备在患有严重MR和MAC的患者身上.
- 使用先进的成像和干预技术来部署设备.
主要成果:
- 实现了TAVR和TMVR设备的成功植入.
- 患者在术后经历了良好的结果,这表明了联合方法的可行性.
结论:
- 同时使用TAVR和TMVR-in-MAC对于某些患者来说是一个可行的和潜在的有效策略.
- 这一案例在MAC的背景下,扩大了复杂的额叶膜和大动脉膜疾病的治疗选择.
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