使用KONAR-MFTM对周膜心室隔膜缺陷的透导管关闭:一个多中心体验
Nageswara Rao Koneti1, Sushil Azad2, Shweta Bakhru3
1Department of Pediatric Cardiology, Rainbow Children's Heart Institute, Plot no: 22, Road no: 10, Banjara Hills, Hyderabad, 5000034, India. drkoneti@yahoo.com.
Pediatric cardiology
|April 30, 2024
概括
康纳-MFTM封闭器为周膜腹膜隔膜缺陷 (PmVSD) 提供安全有效的跨导管封闭. 这项研究没有发现完全的心脏阻塞,证明了其对PmVSD治疗的有前途的安全性.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 周膜腹腔隔膜缺陷 (PmVSD) 的跨导管关闭是一种常见的程序.
- 完全的心脏阻塞仍然是一个显著的并发症,限制了PMVSD关闭的范围.
- 康纳-MFTM封闭器是一种较新的设备,具有设计特征,可能提高安全性.
研究的目的:
- 为了评估KONAR-MFTM封闭器的有效性和中期安全性,用于跨导管PmVSD封闭.
- 评估与此设备相关的并发症的发生率,特别是完全的心脏阻塞.
主要方法:
- 从2018年1月到2022年12月,在印度3个中心进行了前性研究.
- 包括121名患有PmVSD的患者,他们使用KONAR-MFTM封闭器进行过导管关闭.
- 随访包括定期进行临床评估和心声回声摄影,长达46个月.
主要成果:
- 在121名患者中,有118名患者 (97.5%) 成功关闭了PmVSD.
- 在术后或随访期间没有观察到完全心脏阻塞的情况.
- 在1个月的随访中,关闭率达到97%;轻度或微不足道的新发动的大动脉吐发生在6名患者中.
结论:
- 康纳-MFTM封闭器是一种安全有效的装置,用于通过导管关闭PmVSD.
- 该设备表现出良好的安全性,特别是避免了完全的心脏阻塞.
- 需要进一步的长期跟踪,以确认持续的疗效和安全性.
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