通过PASCAL系统®进行跨关节 mitra transcatheter 边缘到边缘修复:一个案例报告
Hubert Dromas1,2, Arnaud Sudre1,2, Natacha Rousse1,2
1Department of Cardiovascular Explorations, Heart and Lung Institute, University Hospital of Lille, F-59000 Lille, France.
European heart journal. Case reports
|October 20, 2025
概括
交叉交叉导管边缘到边缘修复 (M-TEER) 为高风险患者提供了一个可行的替代方案,当标准的输血道方法失败时. 这一案例证明了成功的M-TEER使用PASCAL设备通过横路线.
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:
- 在高风险患者中,交叉导管端到端修复 (M-TEER) 是严重交叉导管吐 (MR) 的关键治疗方法.
- 输式方法是标准的,但解剖学上的局限性可能会阻止其使用.
- 横接入为M-TEER提供了一个替代路线.
研究的目的:
- 使用PASCAL装置报告一个成功的横M-TEER病例.
- 为了突出这种替代方法的可行性,当transfemoral访问是不可能的.
主要方法:
- 一名72岁的妇女患有严重的原发性MR和高手术风险,接受了M-TEER.
- 由于严重的阴囊病和IVC生成,计划的移性方法失败了.
- 通过PASCAL装置成功地采用了横式方法,部署了两个PASCAL ACE植入物.
主要成果:
- 横M-TEER手术在技术上是成功的.
- 患者获得了轻微的残留MR (1+).
- 这证明了通过PASCAL装置进行横M-TEER的可行性.
结论:
- 横M-TEER是不适合输接入的患者的可行和有效的替代方案.
- 通过M-TEER的横通道,可以成功地部署PASCAL设备.
- 这种方法扩大了高风险MR患者的皮肤间治疗选择.
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