用输送导管植入心脏起器给患有孤立持续性左上静脉腔患者:一个病例报告
Toshinaru Kawakami1, Kazuyuki Yahagi1, Yu Horiuchi1
1Division of Cardiology, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, Japan.
European heart journal. Case reports
|February 5, 2024
概括
永久心脏起器植入是可行的在患者与孤立的持续的左上 vena cava (PLSVC) 使用专门的输送导管. 术前成像整合有助于在这种罕见的异常中成功放置.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 解剖学变化 解剖学变化
背景情况:
- 持续的左上 vena cava (PLSVC) 与一个缺席的右对应是一种极其罕见的先天性异常.
- 通过关节下静脉进行标准心脏起器植入是具有挑战性的,因为在孤立的PLSVC中独特的静脉解剖学.
- 最近的进展包括在这种情况下使用专门的输送导管用于心脏起器植入.
研究的目的:
- 报告一个成功的永久心脏起器植入一个患者与孤立的PLSVC.
- 评估C315输送导管系统和心脏多探测器计算机断层扫描 (MDCT) 在治疗这种罕见疾病中的实用性.
主要方法:
- 一名47岁的患有恶性鼻综合征的妇女接受了心脏起器植入.
- 在手术前的心脏MDCT确定了孤立的PLSVC.
- 用C315输送导管通过左下关节方法进行了心脏起器植入.
- 术后成像 (心脏MDCT和Ziostation) 与光学进行了整合,以获得解剖相关性.
主要成果:
- 通过使用C315输送导管系统,成功实现了心脏起器植入.
- 导线在胸部X射线图上表现出稳定性,具有有利的传感和捕获值.
- 综合成像证实了准确的位置.
- 在1个月的随访期间,患者仍然没有心力衰竭症状.
结论:
- C315输送导管系统是孤立PLSVC患者永久心脏起器植入的可行选择.
- 将心脏MDCT与分娩导管图像相结合,可以为患有异常静脉解剖的患者提供手术前的规划和导管选择.
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