在手术机械门更换后,通过多种方法关闭横导管对门泄漏:一项回顾性研究
Yang Liu1, Chennian Xu1,2,3, Ping Jin1
1Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi Province, China.
Medicine
|January 14, 2025
概括
在机械门更换后,通过管关闭门外泄漏 (PVL) 是复杂但有效的. 这种微创治疗可提供可靠的结果,并为选定的患者提供更短的住院时间.
科学领域:
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
- 生物医学工程 生物医学工程
背景情况:
- 在外科手术机械置换 (SMVR) 后,通过管关闭准膜漏洞 (PVL) 带来了重大技术挑战.
- 由于对假体门盘的潜在干扰,中枢PVL闭合特别复杂.
研究的目的:
- 审查在接受SMVR的患者中对PVL进行过导管关闭的结果.
- 评估PVL修复SMVR后的最小侵入性技术的可行性和有效性.
主要方法:
- 从2018年1月到2023年12月,从SMVR后接受过导管PVL关闭的64名患者的回顾性审查.
- 利用手术前的3D打印模型和模拟器来进行增强的图像评估和程序规划.
- 记录了导管技术,外科手术期间的数据和患者的预后.
主要成果:
- 在93.8% (60/64) 的患者中,成功完成了关闭.
- 这项研究包括了各种PVL位置 (大动脉, mitra,联合) 和门置换类型.
- 在1年的随访中,78.3%的患者改善了至少一个纽约心脏协会功能类,随访时间中位数为28个月.
结论:
- 通过皮肤关闭机械PVL需要先进的导管技术.
- 这种微创方法提供可靠的临床结果,并减少了在精心挑选的患者住院的时间.
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