左心室附属体关闭的横接入
Ahmed Hussein1, Ariana Ehsan2, Adriana Olivares2
1Interventional Cardiology, Tucson Medical Center, Tucson, Arizona, USA.
JACC. Case reports
|August 29, 2025
概括
通过关闭左心室附属体 (LAAC) 为具有挑战性的静脉解剖不适合标准输血入口的患者提供了可行的替代方案. 在高风险心房患者中,这种方法成功预防了中风.
科学领域:
- 心脏病学
- 干预心脏病学
- 医疗器械
背景情况:
- 穿皮左心房关 (LAAC) 是心房患者中风预防的关键策略.
- 这是LAAC的标准途径.
- 某些解剖学限制可能会阻碍转肢接入.
研究的目的:
- 评估通过的LAAC可行性在患有输接入的禁忌的患者.
- 通过使用替代静脉接入途径呈现成功的LAAC病例.
主要方法:
- 两名心房动和大腿静脉解剖的患者接受了LAAC.
- 使用右内静脉通道进行穿穿孔.
- 一个可引导的外和辅助电线技术促进了接入和装置植入.
- 在这两位患者身上植入了Watchman FLX Pro设备.
主要成果:
- 在这两名患者中,通过横途径成功植入LAAC装置.
- 没有报告的周围过程并发症.
- 后续成像证实了设备的稳定位置和有效的左心房附属体密封.
结论:
- 通过的LAAC是技术上可行的替代品,当转接入是不可能的.
- 这种方法可以在适当的技术和设备下,在解剖学上具有挑战性的病例中取得成功.
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