人类中的第一BASILICA 在门中的门TAVR之前,在机械扩展的传统门中
Ahmed Ghoneem1, L Wiley Nifong2, Brian Cabarrus3
1Department of Cardiovascular Medicine, University of Pittsburgh Medical Center (Harrisburg), Harrisburg, Pennsylvania, USA.
这一首例人类病例表明,在在莲花门中使用门入透管大动脉门更换之前,使用BASILICA (生物假体或本地大动脉鱼故意撕裂以防止iatrogenic冠状动脉阻塞) 的可行性,防止冠状动脉阻塞.
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
- 医疗器械 医疗器械
背景情况:
- 莲花门的设计对门中门跨导管大动脉门更换 (ViV-TAVR) 提出了挑战.
- 之前在莲花门中报告了BASILICA (生物假体或本地大动脉贝故意撕裂以防止阳性性冠状动脉阻塞) 的病例,这些病例仅限于基板模型.
研究的目的:
- 在ViV-TAVR在退化的莲花门中之前报告BASILICA在人类中的首次使用,以预防冠状动脉阻塞.
- 为了证明这种技术的可行性和程序调整.
主要方法:
- 一名79岁的妇女患有23毫米的退化莲花门,接受了BASILICA手术.
- 在BASILICA之后植入了一个26毫米的Evolut FX.
- 使用保守后扩张来优化门扩张并最大限度地降低框架完整性风险.
主要成果:
- 该案例成功地证明了在莲花门中在ViV-TAVR之前执行BASILICA的可行性.
- 这种手术可以防止阳性冠状动脉阻塞.
- 保守的扩张后实现了优秀的门血液动力学,而不会损害框架.
结论:
- 贝西利卡是一种可行的技术,可以减轻ViV-TAVR与莲花门的冠状动脉阻塞风险.
- 仔细的程序调整,包括保守的扩张后,对于成功的结果至关重要.
- 这种方法可以使ViV-TAVR在具有挑战性门解剖的患者中实现.
更多相关视频
14:14Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
05:31Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
Published on: June 8, 2022
相关概念视频
Mechanisms of Membrane-bending
Membrane bending can happen due to intrinsic changes in lipid composition or extrinsic association with different proteins. The proteins involved...
Types of Membrane Protrusions
The microvilli, an example of stable protrusions, are finger-like projections...
Nose and Nasal Cavity
Spanning Openings in Brick Walls
Lintels are primary supports used to span openings and can be crafted from materials such as reinforced concrete, steel-reinforced brick masonry, or simple steel angles. These are straightforward to install and are typically concealed...
Masonry Curtain Walls
Expansion and Contraction in Masonry Walls
To...
