跨导管覆盖的支架 排斥上部鼻腔静脉缺陷缺陷
Pramod Sagar1, Kothandam Sivakumar1, Puthiyedath Thejaswi1
1Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, India.
Journal of the American College of Cardiology
|May 29, 2024
概括
使用覆盖式支架关闭阴道静脉缺陷 (SVDs) 的透导管是有效的. 程序修改改善了患者的包容性和减少了并发症,在100名患者中取得了97%的成功.
科学领域:
- 干预心脏病学 干预心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 医疗器械技术 医疗器械技术
背景情况:
- 通过导管关闭阴道静脉缺陷 (SVDs) 提供了手术的替代方案.
- 潜在的并发症包括静脉缩,肺静脉问题和心律失常.
研究的目的:
- 为了简化跨导管SVD关闭,并提高其适用性.
- 通过技术修改来减少或管理程序复杂性.
主要方法:
- 分析了超过8年的单一中心经验,其中100名接受SVD关闭的患者.
- 使用气球问询来确认缺陷的关闭和右上肺静脉 (RUPV) 的重定向.
- 随访转食管回声心电图 (TEE),以评估残留的分流,RUPV流量和支架血栓形成.
主要成果:
- 最初的成功率为70%,有2次失败;RUPV封闭是排除标准.
- 实施RUPV保护改善了包含到94%的1个失败.
- 修改包括有限的TEE,避免毒毒电路和重叠的支架,导致97%的程序成功,但并发症较小.
结论:
- 程序修改显著提高了患者的包容性,并减少了并发症.
- 过导管SVD关闭是一种安全有效的干预措施,成功率高.
- 正在进行的技术改进继续提高该程序的普遍适用性.
关键词:
有异常的肺静脉.气球审讯审讯 气球审讯装在气球上的覆盖式支架.前皮突 (shunt) 是一个先前皮突.右上肺静脉右上肺静脉过食管回声心电图 (transesophageal echocardiography) 是一种超食管回声心电图.更多相关视频
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