0型严重化双动脉带动脉瘤用TaurusElite修复
Zuofeng Qin1, Wenyi Wu1, Sanwu Wu1
1Department of Cardiology, Renmin Hospital, Hubei University of Medicine, Shiyan, China.
JACC. Case reports
|May 16, 2025
概括
使用TaurusElite的透导管大动脉置换 (TAVR) 在患有复杂双管大动脉解剖学的高风险患者中取得了成功. 一种新的陷辅助技术确保了安全的航行和最佳的门部署.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 结构性心脏病 结构性心脏病
背景情况:
- 严重化的0型双主动脉 (BAV) 对跨导管主动脉置换 (TAVR) 提出了重大挑战.
- 上升大动脉的动脉扩张进一步使TAVR程序复杂化.
- 高风险患者通常需要创新的方法来成功植入门.
研究的目的:
- 报告TaurusElite门在一个具有复杂BAV解剖的高风险患者中成功使用TAVR的情况.
- 为了证明一个陷辅助技术的实用性,在TAVR期间导航具有挑战性的大动脉解剖学.
主要方法:
- 术前多式成像用于详细的解剖评估.
- 诱辅助输送系统用于通过大动脉门和门进行控制的导航.
- 气球前扩张和精确的门部署在环形上方2mm.
- 在部署后评估门位置和冠状动脉 perfusion.
主要成果:
- 在一个高风险患者中成功部署TaurusElite门,该患者患有严重的0型化BAV和上升性大动脉动脉瘤.
- 有效地使用陷辅助技术来克服解剖学挑战.
- 没有报告过像膜漏水或冠状动脉阻塞等重大并发症.
结论:
- 带有TaurusElite门和snare辅助导航的TAVR对于患有复杂BAV的高风险患者来说是一个可行的选择.
- 精确的手术前规划和精确的门定位对于在具有挑战性的TAVR病例中最大限度地减少并发症至关重要.
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