在ASD上的血栓关闭装置揭示了潜在的血栓友爱症
Riwad Iftekhar1, Michael McMullan2, William Campbell2
1UMMC School of Medicine, Jackson, Mississippi, USA.
JACC. Case reports
|November 20, 2025
概括
心房隔膜缺陷 (ASD) 的透导管关闭可能导致未被诊断的血栓友爱症患者的设备相关血栓形成. 在ASD关闭之前对高凝血性疾病的查对于预防栓塞性中风至关重要.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 血液学 血液学 血液学
背景情况:
- 过导管关闭心房隔膜缺陷 (ASD) 是一种常见的程序,以防止悖论性栓塞.
- 虽然严重的并发症很少见,但在关闭装置上可能发生血栓形成,特别是在患有潜在血栓友爱症的患者中.
研究的目的:
- 为了突出与未诊断的血栓友病患者中与设备相关的血栓形成的潜在风险,这些患者正在接受ASD关闭.
- 强调在有血栓事件史的患者中进行手术前血栓性查的重要性.
主要方法:
- 一个25岁的女性病例报告,她有血栓性中风病史,经过过导管ASD关闭.
- 随访显示,闭塞装置上存在血栓,导致抗凝和诊断抗脂综合征.
主要成果:
- 患者经历了一次复发性中风,该中风归因于ASD关闭装置上的血栓形成.
- 抗凝药导致了血栓的解决,而抗脂综合征被确定为潜在的血栓性.
结论:
- 未被诊断的高凝血状态,如抗脂综合征,可以增加在ASD关闭后晚发器件相关血栓的风险.
- 在经过过导管ASD关闭之前,应考虑对血栓性中风患者进行血栓性查,以减轻风险.
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