与爱德华兹的同时支架 SAPIEN 透导管肺替换肺替换
Jessica Heibel1, Ryan Reeves2, Laith Alshawabkeh2
1Cardiology, Rady Children's Hospital, University of California San Diego, San Diego, California.
概括
与SAPIEN门同时进行支架提供了一种简化的一步方法,用于跨导管肺置换 (TPVR). 这种技术有效地准备了着陆区,减少了诸如膜泄漏等并发症.
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:
- 通过导管肺置换 (TPVR) 的着陆区域的预先支架对于扩大右心室外流通道 (RVOT),防止准膜泄漏 (PVL) 和避免管道撕裂至关重要.
- 虽然Melody门的同时支架 (SS) 已被记录,但以前没有报告使用SAPIEN门的SS.
研究的目的:
- 报告一项新技术的初始经验,即在透气管肺置换 (TPVR) 过程中使用SAPIEN进行同时支架 (SS) 的新技术.
- 评估SS与SAPIEN门的可行性,安全性和有效性,用于为TPVR准备右心室外流通道 (RVOT).
主要方法:
- 在Rady儿童医院和UCSD医疗中心进行SAPIEN TPVR与SS的患者的回顾性审查.
- 患者接受裸体金属支架用于长段狭窄症或覆盖支架以防止PVL或导管撕裂.
主要成果:
- 确定了17例与SS相结合的SAPIEN TPVR病例.
- 大多数RVOT涉及跨状贴片 (56%),平均直径为19.6±5.2毫米. 爱德华兹SAPIEN 3 (26.0毫米) 门是最常见的 (59%).
- 在所有没有管道撕裂的患者中,手术成功;小并发症发生在17.6%的患者中.
结论:
- 与SAPIEN TPVR同时进行支架是需要预先支架的患者的一步可行的替代方案.
- 这种技术简化了程序,显示了较低的并发症率,并增强了降低PVL的着陆区.
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