绝对零光学心房隔膜缺陷关闭的扩大作用:一个单中心的经验
Radityo Prakoso1, Rina Ariani2, Yovi Kurniawati1
1Division of Pediatric Cardiology and Congenital Heart Disease, Department of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita, Universitas Indonesia, Jakarta, Indonesia.
Frontiers in cardiovascular medicine
|April 21, 2025
概括
零光镜,超声波引导的心房隔膜缺陷 (ASD) 关闭对于复杂的病例是安全有效的. 虽然成功,但复杂的ASD关闭显示出较高的光镜转换率和植入失败率,与简单的病例相比.
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
- 医疗成像医学成像
背景情况:
- 已经建立了零光镜,专用超声波引导的心房隔膜缺陷 (ASD) 导管闭合.
- 然而,关于这种技术在复杂的自闭症病例中的有效性存在有限的数据.
研究的目的:
- 评估ASD导管关闭的安全性,有效性和结果,使用专用超声波指导.
- 特别关注复杂的ASD病例中的有效性.
主要方法:
- 来自接受专用超声导向ASD导管关闭的患者的临床数据的回顾性审查 (2018年7月 - 2024年4月).
- 根据预先定义的标准 (例如,缺陷大小,边缘缺陷,肺高血压) 将患者分为简单和复杂的ASD组.
- 两组的人口统计数据,程序细节和结果的比较.
主要成果:
- 包括339名患者;73.1%被归类为复杂的ASD病例.
- 在两组中,植入成功率都很高 (98.9%简单,97.1%复杂).
- 复杂的病例显示,转换为光镜 (2.8%比0%) 和严重的手术并发症 (1.7%比0%) 的比例显著更高.
- 在随访时,在两个组中都没有观察到残留的分流.
结论:
- 零光镜,心声回声导向的ASD关闭在简单和复杂的病例中都是有效的.
- 复杂的ASD病例显示,光学转换和植入失败的发生率更高.
- 对于复杂的ASD干预措施,超声波引导技术的持续改进是有必要的.
关键词:
心房隔膜缺陷是心房隔膜缺陷.光镜是指光镜.通过皮肤通过皮肤.过食管回声心电图 (transesophageal echocardiography) 是一种超食管回声心电图.零-光学是没有光的.更多相关视频
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