晚期发病的栓塞,一个中枢管过导管边缘到边缘修复装置的栓塞
Naeem Tahirkheli1, Salman Khalid1, Sania Tahir2
1Oklahoma Heart Hospital South, Oklahoma City, Oklahoma, USA.
JACC. Case reports
|October 24, 2025
概括
一个罕见的MitraClip栓塞病例30天后通过导管边缘到边缘修复 (TEER) 为了 mitra regurgitation (MR) 成功通过皮肤回收治疗. 这表明,通过仔细的技术和设备选择,可以实现成功的结果.
科学领域:
- 心血管干预 心血管干预
- 医疗器械技术 医疗器械技术
背景情况:
- 使用MitraClip器件进行跨导管边缘到边缘修复 (TEER) 是用于手术不适合的患者严重症状腹 (MR) 的标准治疗方法.
- MitraClip栓塞是一种罕见的并发症,通常发生在外科手术期间.
研究的目的:
- 报告一种罕见的晚期发作的MitraClip栓塞病例,该病例发生在手术后30天.
- 为了描述一个栓塞的MitraClip设备的成功穿皮检索.
主要方法:
- 在TEER后30天出现呼吸障碍的患者接受了成像检查,发现MitraClip脱落.
- 通过血管和食管横断心声学 (TEE) 的指导使用皮肤检索进行.
- 最初的检索尝试没有成功,导致剪贴迁移;随后使用EN Snare系统的尝试取得了成功.
主要成果:
- 栓塞的MitraClip通过EN Snare系统成功地通过皮肤进行了检索.
- 使用曼塔设备和两个Perclose设备实现了静血.
- 最终的TEE证实了无并发症的完整的大动脉.
结论:
- 晚期发作的MitraClip栓塞,虽然很罕见 (0.3%的栓塞率),但可以发生并成功管理.
- 在适当的指导 (血管学,TEE) 和检索设备的选择下,穿皮检索栓塞的MitraClips是可行的.
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