多模式成像指导的跨导管关闭一个曲的LCX-CS:一个案例报告
Ryusuke Sekii1, Shingo Kato2, Kazuki Fukui3
1Department of Cardiology, Yokohama City University, Fukuura 3-9-9, Kanazawa Ward, Yokohama 236-0004, Japan.
European heart journal. Case reports
|October 20, 2025
概括
透管线圈栓塞有效地治疗了位于左侧环动脉和冠状动脉鼻腔之间的大型扭曲冠状动脉 (CAF). 这种以多模式成像为指导的少入侵的方法,为复杂的CAF病例提供了手术的安全和成功的替代方案.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗成像医学成像
背景情况:
- 冠状动脉 (CAF) 是一种罕见的先天性异常.
- 大型或有症状的CAF可能需要干预,因为它具有显著的左向右转移.
- 过导管关闭是一种有效的,不那么侵入性的替代手术治疗.
研究的目的:
- 报告一个大型,曲的CAF病例,该病例已成功通过跨导管线圈栓塞治疗.
- 突出多模式成像在指导程序中的作用.
- 为了证明三重同轴导管系统在管理复杂的有效性.
主要方法:
- 一名44岁的妇女在左侧环动脉 (LCX) 和冠状动脉鼻 (CS) 之间患有大,曲的CAF接受治疗.
- 多模式成像 (CT,MRI,光学成像) 用于评估和规划.
- 通过动脉方法使用三重同轴导管系统进行了跨导管线圈栓塞.
主要成果:
- 在单次会议中成功实现了CAF的线圈栓塞,没有任何并发症.
- 程序前的Qp/Qs比率为1.50,在6个月的随访后降至1.17.
- 术后成像证实了囊封闭和减少的分流体积.
结论:
- 透管线圈栓塞是一种安全有效的治疗复杂的冠状动脉抽,特别是曲的.
- 多模式成像对于准确的评估和程序规划至关重要.
- 三重同轴导管系统在具有挑战性的解剖学中促进了稳定的接入和成功的线圈输送.
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