在监视计算机断层扫描成像中发现的Altera适应性前的血管外突出
Matthew J Gillespie1, Nicola Maschietto2, Jamil A Aboulhosn3
1Division of Pediatric Cardiology, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
概括
在CT扫描中,Altera适应式前置,与肺反的SAPIEN 3一起使用,显示出血管外延伸. 虽然没有出现并发症,但由于潜在的临床意义,这种前穿孔需要注意.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 阿尔特拉适应式前置器是一种新型的自我扩张装置,在患有大右心室外流通道的患者中为SAPIEN 3门创建着陆区.
- 它的固定依赖于辐射力和燃烧的锡用于肺反治疗.
研究的目的:
- 为了评估转管管肺替换后Altera适应式前置的成像发现.
- 评估前置外血管延伸和潜在穿孔的发生率和影响.
主要方法:
- 监测胸部CT扫描的回顾性审查在6名患者中进行了透气管肺置换后的检查.
- 图像分析侧重于Altera自适应前置的位置和完整性及其与周围结构的关系.
主要成果:
- CT扫描显示,在所有6名患者中,Altera prestent的血管外延伸.
- 一名患者有扩展到上升性大动脉,三名患者与相邻结构接触,没有报告的临床后果.
- 在CT成像中观察到肺动脉和/或右心室的前列腺穿孔.
结论:
- 监视CT显示,Altera适应式前置器可以在血管外延伸,并可能穿孔心脏结构.
- 虽然在这个队列中没有观察到临床后果,但临床重要性的潜力需要植入者意识到这一点.
- 需要进一步的研究来确定这种现象的风险因素,发病率和临床影响.
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