单一的三级中心使用戈尔心脏形心房隔膜缺陷的经验 闭合器用于第二心房隔膜缺陷的闭合,重点是缺陷的边缘
Subhrajit Lahiri1, Athar M Qureshi2, Ricardo H Pignatelli2
1Children's Hospital of Illinois, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA.
The Journal of invasive cardiology
|November 22, 2023
概括
使用戈尔心形隔膜封闭器 (Gore Cardioform Septal Occluder) 关闭心房隔膜缺陷 (ASD) 的透导管,即使有缺陷的边缘也可行. 然而,具有特定缺陷边缘 (后部,后部,上部和下部) 的大型ASD与较低的成功率有关.
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
- 医疗器械 医疗器械
背景情况:
- 有限的数据存在使用戈尔心形隔膜封闭器 (GCA) 对于缺陷边缘的心房隔膜缺陷 (ASDs).
- 缺陷的轮圈对成功关闭透导管构成了挑战.
研究的目的:
- 评估使用GCA关闭有缺陷轮的ASDs的跨导管封闭的可行性和结果.
- 识别与程序成功或失败相关的因素.
主要方法:
- 对那些接受过食道回声心电图 (TEE) 检查ASD闭塞的患者的回顾性分析.
- 使用TEE评估各种ASD轮尺寸 (前部至上部,后部,前部至下部,后部至上部,上部,下部).
- 大型ASD (>20毫米) 和缺陷轮 (<5毫米) 的定义.
主要成果:
- 在148名患者中,75.7%的人至少有一个缺陷的边缘.
- 在115名患者中进行过导管关闭,成功率为96.5%.
- 多个缺陷轮,特别是后部,后部,上部和下部缺陷轮,与未成功关闭有关.
结论:
- 缺陷轮圈的ASD通过导管关闭是可行的GCA.
- 大型ASD有缺陷的后侧,后侧上侧和下侧边缘与未成功关闭有关.
- 对ASD边缘特性进行彻底的程序前评估对于最佳的GCA使用至关重要.
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