心内心回声指导的皮肤通透的中心气球commissurotomy:技术和早期经验
Ahmed Hassanin1, Modar Alom1, Srinivasa Potluri1
1Department of Cardiology, Baylor Scott & White - The Heart Hospital Plano, Plano, Texas, USA.
Structural heart : the journal of the Heart Team
|September 18, 2024
概括
心内超声 (ICE) 引导的皮肤穿透性 mitra 气球 commissurotomy (PMBC) 是对 mitra 狭窄的安全有效治疗方法. 这种方法简化了手术并改善了患者的舒适度,避免了全身麻醉.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 干预心脏病学 干预心脏病学
背景情况:
- 皮肤穿透的 mitra 气球 commissurotomy (PMBC) 是对具有有利形态的症状性 mitra 狭窄症的标准治疗方法.
- 心内超声 (ICE) 指导提供了跨食道心声学的潜在替代方案,简化了程序,避免了全身麻醉.
研究的目的:
- 评估ICE引导PMBC的可行性和安全性.
- 评估6个月后的程序成功和临床结果.
主要方法:
- 在2020年7月至2023年11月期间,对11名接受ICE指导PMBC的患者进行了回顾性分析.
- 术程的成功定义为PMBC后的额头膜面积≥1.5厘米2或增加≥0.5厘米2与≤中度额头吐.
- 收集了六个月的临床随访数据.
主要成果:
- 在11名患者中尝试了ICE引导的PMBC;9人接受了该程序.
- 在所有接受PMBC的9名患者中都取得了程序性成功.
- 额头膜的平均梯度从11.1mmHg降低到4.4mmHg. 在6个月后,8/9名患者的NYHA等级为≤II.
结论:
- 以ICE为指导的PMBC是一种可行的,安全的替代方法来治疗额头狭窄症.
- 这种技术提高了患者的舒适性,并消除了对全身麻醉和输管的需要.
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