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一个陷的动作,以重新定位自扩展性主动脉在切入管替换手术植入的门后

Kotaro Takahashi¹, Tomohisa Tada¹, Kiyotaka Shimamura¹

¹Department of Cardiology, Shizuoka General Hospital, Shizuoka, Japan.

Journal of cardiology cases

|December 21, 2023

概括

使用手臂动脉方法重新定位一个跨导管心脏门 (THV),成功控制了门内门手术中的周围门泄漏. 这种技术以食管横断心声学为指导,为错位的THV提供了可行的解决方案.

科学领域:

心脏病学心脏病学
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:

围膜漏 (PVL) 是通过导管的大动脉替换 (TAVR) 后的一个重大并发症.
过导管心脏 (THV) 的位置不当可能导致PVL,需要采取纠正措施.
门中的门程序虽然很常见,但存在THV错误部署的风险.

研究的目的:

描述一个成功的透气管心脏 (THV) 重定位技术在一个门在门程序.
为了证明手臂动脉方法对THV重新定位的有效性,以管理周围漏 (PVL).
突出在指导THV重新定位过程中的过程内跨食道心声谱的作用.

主要方法:

一份病例报告详细介绍了植入THV在手术生物假体中重新定位的情况.
通过右臂动脉插入的陷用于THV检索.
雇佣了手术内转食管回声心脏学,以进行精确的评估和指导.

主要成果:

通过通过右臂动脉用绳拉动THV的成功重新定位.
使用大腿部方法的初步尝试由于次优势力向量而失败.
重定位成功控制了准膜泄漏,改善了程序的结果.

结论:

通过手臂动脉方法重新定位透导管心脏 (THV) 是可行的,有效的管理PVL在门内程序.
臂动脉方法允许与股骨方法相比,具有更多的同轴拉力.
程序内转食管心声学对于准确评估和THV重新定位的成功指导至关重要.

关键词:

周周膜泄漏情况这是一个陷的机动.通过导管更换大动脉门.

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