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从上静脉关闭心房隔膜缺陷的装置:简化技术

Thomas Krasemann¹, Ingrid van Beynum¹, Bas Rebel¹

¹ACAHA, Department of Pediatric Cardiology, Sophia Children's Hospital, ErasmusMC, Rotterdam, the Netherlands.

Cardiology in the young

|January 24, 2025

概括

开发了一种使用右关节通道的简化技术来关闭心房隔膜缺陷 (ASD) 的设备. 这种方法成功地部署隔膜封闭器,即使有较低的马脉中断,为复杂的ASD病例提供了一个新的选择.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
干预程序干预程序

背景情况:

心房隔膜缺陷 (ASD) 的设备关闭可能因下部马脉中断而复杂化.
在这种情况下,需要使用替代的接入路径来成功关闭ASD设备.

研究的目的:

介绍一种简化的技术,用于关闭使用右静脉接入的ASD设备.
为了证明部署隔膜阻塞器的可行性,尽管存在像下马静脉中断等解剖学挑战.

主要方法:

采用了一种简化技术,通过右关节通道将输送系统直接插入左心室.
整个隔膜堵塞器部署在左心室,与盘对齐到心室间隔膜.
右盘被重新捕获并重新部署在右心室的压力下.

主要成果:

通过使用描述的简化技术,成功关闭了心房隔膜缺陷的装置.
该方法允许精确部署和定位隔膜阻塞器,尽管解剖学并发症.

结论:

从上部 (右关) 静脉关闭心房隔膜缺陷的装置在某些情况下是可行的,在某些情况下下部静脉中断.
这种简化技术为复杂的ASD设备关闭提供了可行的替代方案,提高了程序成功率.

关键词:

心房隔膜缺陷是心房隔膜缺陷.设备关闭设备关闭被打断的下腔 vena cava 的中断.

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