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在TAVR和TEVAR组合后,ICE引导的虚假光层阻塞
Yusuke Kobari1, Yinghao Lim1, Arif A Khokhar1
1The Heart Center, Rigshospitalet, Copenhagen, Denmark.
JACC. Case reports
|November 4, 2025
概括
在复杂的大动脉状况下,可以同时进行透气管大动脉置换和胸内血管大动脉修复. 这种综合方法可以减少并发症并改善患者的治疗结果.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
背景情况:
- 严重的大动脉狭窄和下降大动脉病理对跨导管干预提出了复杂的挑战.
- 由于解剖学复杂性,同时进行治疗往往很困难.
研究的目的:
- 为了说明结合过导管大动脉置换 (TAVR) 和胸内血管大动脉修复 (TEVAR) 的可行性.
- 突出心内心声谱 (ICE) 在指导复杂的大动脉干预中的作用.
主要方法:
- 一名75岁的患者患有严重的大动脉狭窄,末期脏疾病和下降的大动脉剖析,接受了输血TAVR.
- 在TAVR之后,TEVAR立即使用长进行.
- 在ICE的指导下,使用定制的遮蔽器解决了剩余的虚假光线透.
主要成果:
- 取得了成功的同时使用TAVR和TEVAR.
- 随后的干预成功治疗了残留的虚假光线输液.
- 患者经历了一次平稳的恢复.
结论:
- 同时的TAVR和TEVAR对于复杂的大动脉病理是可行的.
- 这种综合策略可以尽量减少与访问相关的并发症.
- 内心回声心脏图对于指导复杂的血管内主动脉干预至关重要.
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