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被覆盖的CP支架中的Endoleak在通过导管关闭阴道静脉缺陷时导致程序失败

Farheen Qureshi¹, Kothandam Sivakumar¹, Pramod Sagar¹

¹Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, India.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

|December 20, 2023

概括

通过导管关闭阴道静脉缺陷使用覆盖的支架. 织物撕裂可能会导致泄漏,导致程序失败,但重叠的支架可以解决这种并发症.

科学领域:

心脏病学心脏病学
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:

阴道静脉缺陷 (SVDs) 是一种先天性心脏异常.
过导管关闭是SVD手术修复的替代方案.
被覆盖的支架用于通过导管SVD的关闭,创建一个屏障,以重定向血流.

研究的目的:

描述使用覆盖式支架关闭SVD的跨导管关闭技术.
为了识别和解决因覆盖式支架中的织物撕裂导致的内泄症的并发症.
提出一种方法来克服由内泄引起的程序失败.

主要方法:

在气球询问后,穿过导管植入一根长长的覆盖式支架穿过心腔结.
利用支架的织物为右上肺静脉创建一个屋顶.
采用血管学和食管横断性心声学来识别泄漏.

主要成果:

通过重定向右上肺静脉,成功关闭了心房间间沟通.
在覆盖的支架中,由于织物撕裂而产生的内膜泄漏的识别.
通过叠加额外的覆盖式支架来实现内和程序成功的解决.

结论:

用覆盖的支架封闭SVD的跨导管封闭是可行的.
导致内膜泄漏的织物撕裂是潜在的并发症.
覆盖式支架的重叠提供了一个解决方案来管理内泄漏并确保程序的成功.

关键词:

这是一个复杂的并发症.有覆盖的支架.程序失败是因为程序失败.剩余的分流方式.上层 vena cava 静脉静脉静脉是一个过食管的回声心脏图 (echocardiogram) 是通过食管的回声心脏图.

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