一站式设备关闭心室隔膜缺陷与心房隔膜缺陷,由食管横心声指导
Jinghao Song1, Yuekun Sun1, Huaixue Mi1
1Department of Cardiovascular Surgery, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Engineering Research Center for Heart Transplant and Material, 250014 Jinan, Shandong, China.
Reviews in cardiovascular medicine
|May 12, 2025
概括
通过食管回声指导的心脏或皮膜封闭心室隔膜缺陷 (VSD) 与心房隔膜缺陷 (ASD) 是安全有效的. 这些一站式治疗为一些患有复杂先天性心脏病的患者提供了有价值的替代方案.
科学领域:
- 心脏病学 心脏病学
- 遗传性心脏病治疗方法 治疗方法
- 最少侵入性心脏外科手术
背景情况:
- 心室隔膜缺陷 (VSD) 与心房隔膜缺陷 (ASD) 是一种常见且复杂的先天性心脏异常.
- 评估新的治疗策略对于改善患者的治疗结果至关重要.
研究的目的:
- 评估跨食道心声学 (TEE) 引导的心脏直通或联合皮直通技术的临床疗效和安全性,用于治疗VSD与ASD.
- 为了在不同患者解剖学中评估这些技术.
主要方法:
- 从2015年6月到2023年7月,对40名患有VSD和ASD的患者进行了回顾性队列研究.
- 根据缺陷类型,采用了TEE引导的腹腔,心室内膜或结合心脏/皮肤的方法.
- 综合性随访包括心电图,心声和X射线在特定间隔手术后.
主要成果:
- 100%的手术成功率,在随访期间不需要重复手术.
- 观察到轻微的残留分流和门吐,在某些情况下在6个月内消失.
- 在三个手术方法 (p=0.957) 中,没有发现不良事件发生率的显著差异.
结论:
- 以TEE为指导的心脏或联合皮肤设备关闭是一种安全,有效和可行的方法,用于一次性治疗VSD与ASD.
- 这些微创技术为精心挑选的患者提供了有价值的替代疗法.
相关概念视频
01:20Imaging Studies for Cardiovascular System II:Types of Echocardiography
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Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
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01:17Imaging Studies for Cardiovascular System I:Echocardiography
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Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
273