内血管低通过器:通过下静脉孔过器通过PASCAL通过下静脉孔过器进行中枢边缘到边缘修复
Matteo Biroli1,2, Carlo Maria Giacari1, Cristina Ferrari1
1Centro Cardiologico Monzino, IRCCS, Milan, Italy.
JACC. Case reports
|December 14, 2023
概括
在一个82岁的病人身上,成功地进行了严重的额头肌吐的跨导管边缘到边缘修复. 尽管下静脉膜过器植入具有挑战性,但这仍然是可以实现的,这表明了可行的治疗选择.
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
- 医疗器械技术 医疗器械技术
背景情况:
- 严重的甲骨管反会带来很大的风险,特别是在老年患者中.
- 下腔静脉过器用于预防肺栓塞,但可能会使血管进入复杂化.
- 过导管边缘到边缘修复 (TEER) 提供了一种最小的侵入性选择,用于额头回.
研究的目的:
- 在患有下腔静脉过器的患者中呈现成功的TEER病例.
- 为了突出导航和扩展下静脉膜过器用于TEER访问的可行性.
- 为了证明一种替代的方法,对于患者不符合标准的接接入.
主要方法:
- 过导管边缘到边缘修复 (TEER) 程序.
- 现有的下静脉膜过器的穿越和扩张.
- 使用先进的成像和导线技术进行血管接入.
主要成果:
- TEER 装置的成功植入.
- 通过下静脉过器没有重大并发症.
- 在手术后的 mitra 反显著改善.
结论:
- 在患有下腔静脉过器的患者中,TEER是可行的,即使转接入具有挑战性.
- 仔细的规划和专门的技术允许下静脉过器的安全导航.
- 这种方法扩大了复杂患者群体中严重的额头骨吐的治疗选择.
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