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梅洛迪透导管肺置换:东南亚的单中心病例系列

Marin Satawiriya¹, Mann Chandavimol², Alisa Limsuwan³

¹Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama 6 Rd, Rachathewi, Bangkok, 10400, Thailand.

BMC cardiovascular disorders

|June 13, 2024

概括

在东南亚使用Melody的透气管肺置换 (TPVR) 显示了对右心室外流通道功能障碍的中期临床和血液动力学改善. 传染性内心炎和渐进性狭窄症需要持续监测和干预.

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:

用Melody进行透管肺置换 (TPVR) 已显示出良好的临床和血液动力学结果.
这项研究专门分析了Melody植入在东南亚患者的中期结果,这些患者患有右心室外流管 (RVOT) 功能障碍.

研究的目的:

评估Melody门TPVR在东南亚队列中的中期临床和血液动力学疗效.
评估先前存在RVOT功能障碍的患者的结果,包括那些带有环形导管或生物假体的患者.

主要方法:

一组14名RVOT功能障碍患者 (儿科和成人) 接受了Melody TPVR.
在71.4%的病例中,手术涉及先前支架;主要指示是结合狭窄和反.

主要成果:

TPVR程序是成功的,没有立即死亡或管道破裂.
平均RVOT梯度在术后显著降低 (41 mmHg至16 mmHg,p < 0.01).
中期随访 (中位数为48个月) 显示86%的患者没有感染性内心炎 (IE),尽管有2名患者 (14.3%) 患有IE. 三名患者 (21.4%) 经历了渐进的RVOT梯度.

结论:

东南亚的Melody TPVR为RVOT功能障碍提供了与美国数据相似的结果.
前置支架在预防Melody门支架骨折 (MSFs) 上是有效的.
长期监测残留/渐进的RVOT狭窄症和对IE的警至关重要,尽管预防.

关键词:

干预干预干预旋律的门旋律的门通过导管进行肺替换.

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