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用PASCAL维修平台进行边缘到边缘维修的Versascross交叉体系统
Sagar N Doshi1,2, Panagiotis Savvoulidis1, Anthony Mechery1
1Department of Cardiology, Queen Elizabeth University Hospital, Birmingham, UK.
Structural heart : the journal of the Heart Team
|December 4, 2023
概括
维尔萨克罗斯系统提供了一个安全有效的替代方案,用于交叉口刺穿 (TSP) 在两侧交叉导管边缘到边缘修复 (M-TEER) 程序. 它简化了工作流程,减少了所需的电线数量,与传统的机械针相比,缩短了手术时间.
科学领域:
- 心血管干预 心血管干预
- 结构性心脏病 结构性心脏病
- 医疗器械技术 医疗器械技术
背景情况:
- 截面穿刺 (TSP) 是各种心脏手术中的关键步骤.
- 传统的TSP机械针系统可能会给工作流带来挑战.
- 新技术旨在提高TSP的效率和安全性.
研究的目的:
- 为了比较新的VersaCross无线电频率跨septal系统与机械针系统.
- 为了评估VersaCross在使用PASCAL设备进行中透管边缘到边缘修复 (M-TEER) 的效率和安全性.
主要方法:
- 一个单一中心的回顾性研究,对33名连续接受M-TEER的患者进行了PASCAL设备.
- 患者使用机械针或VersaCross系统进行TSP.
- 主要终点包括成功的TSP和sheath交付;次要终点评估程序效率和安全性.
主要成果:
- 所有跨septal刺穿都是成功的,无论使用的系统.
- 维萨克罗斯系统证明从大腿静脉接入到TSP和设备部署的间隔较短.
- 与VersaCross系统相比,需要的电线数量要少得多,没有增加吸管,死亡或中风的风险.
- 在所有情况下,在两种系统中都实现了爱德华兹的成功交付.
结论:
- 维尔萨克罗斯系统是一种安全有效的穿刺穿刺穿刺的选择.
- 它有助于有效地交付22Fr用于M-TEER程序与帕斯卡设备.
- 在M-TEER中,VersaCross可以改善工作流程并减少资源利用.
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