使用乙烯乙烯酒合聚合物在高压阻塞性心肌病中进行 Septal 栓塞: 1 年的随访
Rômulo Francisco de Almeida Torres1, Sarah Fagundes Grobe1, Larissa de Oliveira Rengel de Souza1
1Hospital São Marcelino Champagnat, Curitiba, Brazil.
JACC. Case reports
|December 16, 2025
概括
奥尼克斯栓塞为过敏阻塞性心肌病 (HOCM) 的酒精隔膜切除提供了一个安全的替代方案. 这种非酒精剂成功降低了隔膜缩,并改善了不适合手术的患者的症状.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 增高阻塞性心肌病 (HOCM) 是一种遗传性心脏病,导致左心室外流通道阻塞.
- 目前的侵入性治疗包括手术肌切除术和酒精隔膜切除.
- 酒精隔膜切除带有心脏毒性,心律失常和心脏起器依赖的风险,推动了寻找替代方案的研究.
研究的目的:
- 评估Onyx的安全性和有效性,一种非酒精性栓塞剂,用于症状HOCM患者的隔膜缩小.
- 探索Onyx作为酒精隔膜切除的替代方案.
主要方法:
- 一个71岁的妇女的病例报告,有症状的HOCM.
- 在光镜的指导下,使用Onyx,一种非酒精性栓塞剂,进行 Septal 栓塞.
- 评估症状和血液动力学改善.
主要成果:
- 患者经历了Onyx隔膜栓塞后显著的症状和血液动力学改善.
- 积极的结果持续至少12个月后的程序.
- 该程序避免了与酒精有关的毒性和并发症.
结论:
- 奥尼克斯隔膜栓塞是一种潜在的安全和有效的替代酒精隔膜切除选择的HOCM患者.
- 这种方法可以在没有与酒精相关的已知风险的情况下进行向性隔膜梗塞.
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