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小婴儿的先天性肌肉腹腔缺陷的腹腔器械关闭 $\hspace{0.17em}$ ≤5公斤:单中心研究干预失败和非最佳结果的风险因素
Emine Hekim Yilmaz1, Ilker Kemal Yucel1, Murat Surucu1
1Department of Pediatric Cardiology, Dr. Siyami Ersek Training and Research Hospital for Cardiology and Cardiovascular Surgery, İstanbul, Turkey.
概括
对于婴儿肌肉腹腔隔膜缺陷 (VSD) 进行腹腔周围装置关闭是有效的,但较大的缺陷和接近调节器带可能会影响成功. 这些因素可能会影响设备在右小心室的放置和合规性.
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:
- 在婴儿的肌肉VSD Perventricular设备关闭提供了一个不那么侵入性的替代手术.
- 之前的研究还没有全面检查程序成功和最佳结果的风险因素.
- 这项研究旨在确定影响肌肉VSD. perventricular设备关闭的危险因素.
研究的目的:
- 分析手术失败的风险因素在肌肉VSD的周心器装置关闭.
- 为了确定肌肉VSD的周心器装置关闭后非最佳结果的预测因素.
主要方法:
- 在17岁以上的婴儿的肌肉VSD的关闭的回顾性分析. 在三级中心.
- 成功被定义为正确的封闭器放置,没有显著的剩余顺差.
- 最佳结果被定义为成功植入后无事件的过程.
主要成果:
- 该程序在85% (23/27缺陷) 中成功,在79.1% (19/24婴儿) 中是最佳的.
- 在失败/非最佳结果组中,较大的缺陷 (≥12mm) 和设备 (≥14mm) 更常见.
- 靠近右心室调节带对成功和最佳结果产生了负面影响.
结论:
- 需要≥14mm装置的较大的缺陷和接近调节器带的缺陷是肌肉VSDs perventricular设备关闭的关键风险因素.
- 这些因素可以阻碍小婴儿右心室的正确装置盘开放和合规.
- 了解这些风险可以帮助优化婴儿VSD关闭的程序规划和结果.
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