使用简化技术的穿越性 BATMAN 程序:"穿越组织的单线方法" (SWATT)
Puvi Seshiah1,2, Raviteja R Guddeti1,2, Zaid Alirhayim1,2
1The Christ Hospital Heart and Vascular Institute, Cincinnati, Ohio, USA.
概括
一种新的穿越组织单线方法 (SWATT) 简化了跨导管中枢更换程序. 这种技术减少了复杂性,并提高了患有左心室外流管阻塞风险的患者的安全性.
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:
- 左心室外流通道 (LVOT) 阻塞是跨导管中枢置换 (TMVR) 期间的重大风险.
- 防止LVOT阻塞的现有方法,如LAMPOON,酒精隔膜切除,SITRAL和气球辅助转移前叶片 (BATMAN),具有包括复杂性和不一致结果在内的局限性.
研究的目的:
- 介绍和描述一种简化的技术,即穿过组织的单线方法 (SWATT),以促进跨导管程序.
- 为了证明SWATT在跨septal气球辅助转移前叶片 (BATMAN) 程序中的实用性,以减轻左心室外流通道阻塞风险.
主要方法:
- 描述穿越组织的单线方法 (SWATT) 技术.
- 使用商业上可用的VERSACROSS横梁系统进行手术.
- 将SWATT应用于跨septal BATMAN程序,以导航门说明书和心脏组织.
主要成果:
- 斯瓦特技术简化了跨septal BATMAN程序.
- 它最大限度地减少了多个电线交换,陷和高能电的需要.
- 这种简化旨在克服程序的复杂性,这阻碍了现有技术的广泛采用.
结论:
- 穿过组织的单线方法 (SWATT) 提供了一种简化方法,用于复杂的跨导管中枢干预.
- 斯瓦特 (SWATT) 便于跨septal BATMAN程序,可能降低左心室外流通道阻塞的风险.
- 这种简化方法可以提高对TMVR并发症的预防策略的采用和适用性.
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