在早产婴儿中,通过皮肤关闭主脉肺窗口
Aishwarya Prakash Gurav1, Shine Kumar1, Raman Krishna Kumar1
1Department of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Annals of pediatric cardiology
|November 20, 2024
概括
过导管装置的关闭成功地治疗了一种罕见的先天性心脏缺陷,即大脉肺窗口 (APW),在一个非常小的早产婴儿身上. 这种最少的侵入性方法为新生儿的复杂心脏病提供了一个可行的选择.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 动脉肺窗 (APW) 是一种罕见的先天性心脏缺陷.
- 非限制性APW需要早期手术干预.
- 婴儿的透导管闭合带来了重大的技术挑战.
研究的目的:
- 报告在早产婴儿中成功关闭非限制性APW的跨导管装置.
- 为了突出这种方法在极低体重新生儿中的可行性.
- 为了展示一种改进的技术,避免动脉静脉循环的形成.
主要方法:
- 在1.35公斤的早产婴儿身上进行了APW的透导管关闭.
- 使用4法式右大腿静脉通道,避免动脉通道.
- 采用0.025的Terumo线和一个四法交付系统来部署设备.
主要成果:
- 通过Konar多功能设备成功封闭了APW.
- 婴儿从机械通风中断奶,并在健康状态下出院.
- 在手术或随访期间没有报告任何并发症.
结论:
- 过导管装置的关闭是一种安全有效的治疗非限制性APW在特定的婴儿.
- 仔细选择患者和程序技术对于成功至关重要.
- 这种方法可以安全地在极小和早产婴儿中进行.
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