转肝通道用于中枢置换: 转肝通道的中枢在中的转肝通道
Lucas Ferreira Marcondes Lemos1, Dimytri Alexandre de Alvim Siqueira1, Carlos Augusto Cardoso Pedra1
1Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil.
JACC. Case reports
|November 24, 2025
概括
横导管 mitrale valve-in-valve (ViV) 程序通常是通过大腿静脉接入进行的. 跨肝途径为患有静脉异常的患者提供了可行的替代方案,尽管存在技术挑战.
科学领域:
- 心血管干预 心血管干预
- 干预心脏病学 干预心脏病学
- 结构性心脏病 结构性心脏病
背景情况:
- 过导管 mitra 内 (ViV) 是对高风险手术患者来说一个不那么侵入性的选择.
- 通过大腿静脉通道的标准横穿线路可能无法实现,因为静脉封闭或IVC中断.
研究的目的:
- 在患有股骨静脉发育症的患者中描述一项跨导管 mitra ViV 的新方法.
- 评估通过导管的结构性心脏手术中跨肝通道的可行性.
主要方法:
- 通过透肝通道进行了一次双肩ViV手术.
- 这种方法被用于患有大腿静脉衰老的患者,这种罕见的疾病阻止了标准静脉通道的通道.
主要成果:
- 顺利完成了通过管的美特拉ViV手术,使用的是通过肝脏的途径.
- 这表明,在具有挑战性的解剖学场景中,通过肝脏进入的可行性.
结论:
- 转肝接入是下腔静脉 (IVC) 中断或静脉异常患者的跨导管手术的潜在替代方案.
- 虽然这条路线是可行的,但它带来了技术上的挑战和增加的风险,特别是在血液静止和抗凝剂导致的潜在出血并发症方面.
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