在跨导管大动脉置换过程中,手术内心骤停和多血管
Yaseen Maqsood Hakim1, Benjamin Stripe2
1School of Medicine, University of California Davis, Sacramento, California, USA.
JACC. Case reports
|October 23, 2025
概括
透气管大动脉置换 (TAVR) 期间的心脏骤停可能是冠状动脉的结果. 及时识别和通过皮肤冠状动脉干预进行干预对于患者的生存至关重要.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
背景情况:
- 过导管大动脉置换 (TAVR) 是一种治疗大动脉狭窄的手术.
- 在TAVR期间心脏骤停是一种罕见的并发症,通常与冠状动脉阻塞有关.
研究的目的:
- 在TAVR期间报告一个不寻常的扩散血管的病例.
- 强调识别和管理血管相关心脏骤停的重要性.
主要方法:
- 一个老年患者的病例报告,因为严重的大动脉狭窄而接受TAVR.
- 患者因左主冠状动脉和 iliofemoral 而经历了手术内心脏骤停.
- 成功的治疗涉及药物释放支架,两天后TAVR完成.
主要成果:
- 这位患者出现了扩散性血管,涉及左侧主要冠状动脉和 iliofemoral 血管.
- 尽管没有这种事件的典型风险因素,但发生了这种情况.
- 迅速识别缺血和成功的穿皮冠状动脉干预是至关重要的.
结论:
- 多血管,包括左侧主要冠状动脉,可以在TAVR期间导致心脏骤停.
- 即使没有传统的风险因素,这种情况也可能发生.
- 及时干预血管扩张剂和皮肤冠状动脉干预对于管理血管引起的停止至关重要.
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