在跨导管大动脉植入过程中,外周血管内立方体:一个病例报告
Vaibhav J Bhastana1, Swaroop Bharadi1, Rajeev Menon1
1Department of Cardiology, AIG Hospitals, Plot no. 2/3, Mindspace Road, P. Janardan Reddy Nagar, Gachibowli, Hyderabad 500032, Telangana, India.
European heart journal. Case reports
|April 11, 2025
概括
静脉内溶液 (IVL) 有效地治疗严重的阴茎结,使得在患有外周动脉疾病的患者中能够进行输血管穿透式大动脉置换 (TF-TAVR). 这种方法提高了船只的合规性,促进了成功的TAVR程序.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
背景情况:
- 严重的骨灰性动脉样硬化在阴茎侧动脉中,可以阻碍跨导管大动脉置换 (TAVR) 的输血侧接入.
- 带有显著化的外周动脉疾病对标准TAVR程序构成挑战.
研究的目的:
- 评估静脉内立异 (IVL) 的疗效和安全性,以准备 iliofemoral 动脉进行 transfemoral TAVR.
- 为了证明IVL在克服TAVR访问的解剖障碍方面的作用.
主要方法:
- 一个病例报告详细介绍了IVL用于修改高风险患者严重的胸前结.
- 在IVL治疗阴茎关动脉后,成功完成了输血关TAVR.
主要成果:
- IVL成功地破裂了内心/中部,增加了血管的遵守性.
- 在IVL后安全有效地进行了Transfemoral TAVR,在8个月的随访后取得了积极的结果.
结论:
- 周围IVL是TAVR候选人的安全和有效的选择,有 iliofemoral 化.
- 在TAVR算法中应考虑IVL,以保持输接入的安全性和结果.
- 需要进行进一步的研究,以优化IVL辅助TAVR的患者选择和操作人员专业知识.
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