在具有具有挑战性解剖学的患者中,用于Evoque Transcatheter三管置换的Transjugular方法
Jonathan X Fang1,2, Pedro A Villablanca1, Tiberio M Frisoli1
1Center for Structural Heart Disease, Henry Ford Health System, Detroit, MI (J.X.F., P.A.V., T.M.F., L.K.L.L., J.C.L., P.E.G., B.Z., H.A., G.K.F., F.N., T.A., O.A., G.R., W.W.O.N., B.P.O.N.).
Circulation. Cardiovascular interventions
|August 19, 2025
概括
跨膜Evoque跨管三膜置换 (TTVR) 是可行的,对于具有具有挑战性解剖不适合 transfemoral TTVR 的患者. 这种方法显示出高的成功率和有利的短期结果,提供了一个可行的替代方案.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 埃沃克系统是美国第一个商用跨导管三管替换 (TTVR) 系统.
- 具有挑战性的患者解剖学可能会阻碍成功的移植Evoque TTVR.
- 在解剖学上复杂的病例中,研究了TTVR的跨关节方法.
研究的目的:
- 为了调查跨状体Evoque TTVR的可行性.
- 为了评估患者的结果,解剖学不适合输血TTVR.
主要方法:
- 11名具有挑战性解剖学的患者接受了横Evoque TTVR.
- 患者要么是经过移植的尝试失败了,要么是解剖学上不合适.
- 评估的结果包括程序成功,并发症,心声回声和TVARC定义的30天临床事件.
主要成果:
- 在所有11名患者中,实现了100%的程序内成功.
- 除了一次心脏起器植入外,没有发生重大程序并发症.
- 在30天后,观察到100%的临床成功,在大多数患者中显著减少三腹吐和改善NYHA功能类.
结论:
- 跨体Evoque TTVR是具有挑战性解剖学的患者的可行替代方案.
- 该程序显示了有利的短期临床和周边程序结果.
- 这种方法扩大了TTVR在复杂案件中的适用性.
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