瓦列奥支架用于管道依赖的全身循环.
Mayank Sharma1, Kamel Shibbani2, Mohamed Khallaf3
1Division of Pediatric Cardiology, Stead Family Children's Hospital, University of Iowa, 200 Hawkins Dr, BT-1010, Iowa City, IA, 52241, USA.
Pediatric cardiology
|June 26, 2025
概括
瓦利奥支架是适合在新生儿的混合程序中进行管道支架的合适选择,新生儿有管道依赖的全身循环,显示出有效性和良好的安全性.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 干预心脏病学 干预心脏病学
背景情况:
- 混合息,结合管道支架和肺动脉带带,是一种标准的I阶段息手术,用于管道依赖的全身循环.
- 在这种程序中,非标签支架的使用是常见的,对像Valeo支架这样的特定设备的数据有限.
研究的目的:
- 描述使用气球可扩展的Valeo支架用于管道支架在管道依赖的全身循环中的经验和结果.
- 评估与Valeo支架使用相关的程序成功率,生存率,并发症和再干预率.
主要方法:
- 在2019年11月至2024年9月期间,对17名患者进行了复杂手术,其中包括动脉管支架和肺动脉带带,进行了回顾性分析.
- 描述性统计数据用于分析程序数据,患者人口统计和结果.
主要成果:
- 17名患者 (平均年龄14天,平均体重3.47公斤) 接受了Valeo支架. 15个只有一个支架,2个需要额外的支架.
- 没有发生手术期间的死亡;有1例在医院死亡记录. 间期死亡率为30% (5/17人存活到随后的手术).
- 再干预率为35% (6/17),包括额外的支架用于管道收缩和气球血管造形用于生长. 没有观察到静脉静脉狭窄或迁移.
结论:
- 瓦利奥支架是一种适合和有效的选择,用于在新生儿患有低可塑性左心综合征和其他左心阻塞性病变的混合程序中进行管道支架.
- 支架显示出良好的安全性,并有效地保持管道通透性,具有较低的间阶段支架内狭窄率.
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