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成功的跨septal跨导管大动脉置换与监控麻醉护理和标准输送系统

Zade Akras¹, Nabil Sabbak¹, Calvin C Sheng¹

¹Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.

Structural heart : the journal of the Heart Team

|March 24, 2025

概括

使用S3系统的横截面方法进行过导管大动脉置换 (TAVR) 是缺乏其他接入选择的患者的安全有效的替代方案. 这种新的技术扩大了TAVR的可访问性,为精选的个人.

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:

过导管大动脉置换 (TAVR) 是症状大动脉狭窄症的关键治疗方法.
虽然关接入是常见的,但对于特定患者群体而言,替代性接入路径至关重要.
现有的替代接入方法包括关节下关节,带,关节,大动脉和顶的方法.

研究的目的:

用标准S3输送系统描述第一个报告的跨septalTAVR病例.
为了评估TAVR的跨septal方法的安全性和有效性,在没有外周动脉接入的患者.
评估使用监控麻醉护理 (MAC) 进行穿越性TAVR的可行性.

主要方法:

在患有症状性大动脉狭窄症的患者中,用于TAVR的跨septal方法.
标准的S3输送系统用于门植入.
该程序是在监控麻醉护理 (MAC) 下进行的.

主要成果:

通过使用标准的S3输送系统,成功完成了跨septal TAVR程序.
这种方法在这个病人身上被发现是安全和有效的.
监控麻醉护理 (MAC) 是足够的程序.

结论:

带有S3输送系统的跨septal TAVR代表了一种新且可行的替代接入路线.
设备机动性和配置的进步促进了这种方法.
这种技术为患有有限或没有外围动脉通道的患者提供了安全有效的选择.

关键词:

内心心电回声心脏成像在心内心电回声心脏成像通过导管更换大动脉门大动脉狭窄症 (大动脉狭窄症)监控麻醉护理监控麻醉护理跨septal 横跨septal 横跨septal 横跨septal 横跨septal 横跨septal 横跨septal 横跨septal

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