同时的跨导管大动脉置换和内血管大动脉动脉瘤修复-塞尔维亚的第一个病例
Darko Boljević1, Jovana Lakčević1, Mihajlo Farkić1
1Cardiovascular Institute "Dedinje", 11040 Belgrade, Serbia.
Diagnostics (Basel, Switzerland)
|November 13, 2025
概括
本案例报告详细介绍了塞尔维亚首次对高危老年患者进行跨导管大动脉替换 (TAVR) 和内血管动脉瘤修复 (EVAR) 的同时治疗. 综合手术被证明是可行的和安全的,强调了需要多学科的护理.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
背景情况:
- 同时发生的严重大动脉狭窄 (AS) 和腹部大动脉动脉瘤 (AAA) 在老年患者中构成了复杂的挑战.
- 通过导管的大动脉置换 (TAVR) 和内血管动脉瘤修复 (EVAR) 是已确立的最少侵入性的选择,但同时进行的手术很少见.
研究的目的:
- 报告塞尔维亚首个同时发生TAVR和EVAR的病例.
- 在高风险的老年患者中证明TAVR和Evar联合治疗的可行性和安全性.
主要方法:
- 一名75岁的男性患有严重症状的AS和AAA,通过双侧大腿接在全身麻醉下接受了TAVR和EVAR联合手术.
- 该手术涉及使用Medtronic Evolut R的TAVR和使用支架植入物放置的EVAR.
- 一个多学科的心脏和血管团队的方法被用于患者的评估和管理.
主要成果:
- 实现了TAVR的成功部署和令人满意的EVAR支架移植位置.
- 患者经历了无事件的术后过程,并在第九天出院.
- 在六个月的随访中,心声回声显示了最佳的门功能,II型内腔被保守地管理.
结论:
- 同时的TAVR和EVAR是对精心挑选的高风险老年患者,同时存在严重AS和AAA的可行和安全的选择.
- 强调精细的手术前规划和协调的多学科方法的关键作用.
- 需要进一步的研究来制定标准化指导方针来管理这些复杂的案件.
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