剪片释放以促进跨导管三管替换 (CLEFT) 的过程
Dhiren R Rajagopal1, Rishab Jayanthi2, Jennifer J Bolivar Aldana2
1Marcus Heart Valve Center, Piedmont Heart Institute, Atlanta, Georgia, USA; Georgia Institute of Technology, Atlanta, Georgia, USA.
JACC. Case reports
|July 18, 2025
概括
通过导管电外科手术可以释放三管剪贴,使得通过导管三管置换 (TTVR) 能够在边缘到边缘修复后进行复发性三管吐 (TR).
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 结构性心脏病是什么
背景情况:
- 跨导管三管边缘修复 (T-TEER) 是三管吐 (TR) 的一种选择.
- 在T-TEER之后的复发TR可能需要通过导管切换三管置换 (TTVR).
- 没有很好地描述T-TEER设备的TTVR植入.
研究的目的:
- 描述一种用于在T-TEER后复发TR的患者中植入TTVR的新技术.
- 为了评估跨导管电外科手术的可行性,以释放设备.
主要方法:
- 一名患有T-TEER后重复严重TR的患者接受了治疗.
- 经食道心声扫描证实了MitraClip设备的良好连接.
- 透导管电外科手术被用来撕裂一个附在片上的传单.
- 随后植入了一个EVOQUE TTVR.
主要成果:
- 电外科技术成功释放了三骨.
- 在EVOQUE TTVR中植入了微不足道的准膜泄漏.
- 实现了TR的优异分辨率.
结论:
- 透导管电外科手术是一种可行的方法,可以释放T-TEER设备.
- 这种技术有助于在患有复发性TR的患者中植入TTVR.
- 它为管理复杂的结构性心脏病病例提供了解决方案.
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