使用PASCAL系统进行跨导管边缘到边缘的中枢门修复,用于患有中枢失调症的患者
Yusuke Enta1, Yoshiko Munehisa2, Daishi Tazawa2
1Department of Cardiology Center, Sendai Kousei Hospital, Sendai, Japan; Department of Laboratory Medicine, The Jikei University School of Medicine, Tokyo, Japan.
JACC. Case reports
|July 18, 2025
概括
使用PASCAL装置进行跨导管边缘到边缘的 mitra 门修复,对中介 commissure flail 有效. 即使使用引导重新定位,也可以实现安全部署.
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:
- 由于中部委 (MC) 而引起的初级 mitrale 吐是一个重大的临床挑战.
- 通过导管进行边缘到边缘的脑膜修复 (TEER) 提供了一种不那么侵入性的治疗选择.
研究的目的:
- 描述使用PASCAL装置进行TEER的程序步骤和结果,用于MC片诱导的初级MR.
- 要突出关键的技术方面和潜在的陷的PASCAL设备在这个特定的指示.
主要方法:
- 截面穿刺的性能优于MC.
- 向导 (GS) 插入左心室 (LA) 和可引导导管 (SC) 进位.
- 在保持SC的同时,GS向右心房撤回,在LA中保持MC的方法.
- 在抓住传单后部署帕斯卡设备.
- 在部署后,GS在SC上重新推进到LA.
主要成果:
- 帕斯卡设备可以安全地部署在患有MC的患者中.
- 通过仔细的导管操纵,可以实现成功的抓取和部署.
- 在MC上方的跨septal穿孔位置对于最佳的SC指导至关重要.
结论:
- 通过PASCAL装置进行跨导管边缘到边缘的头膜修复是MC MR.的可行选择.
- 战略性穿越性穿刺和膜管理是成功结果的关键.
- 帕斯卡设备为这种具有挑战性的MR病因提供了安全有效的TEER解决方案.
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