巴西首次高风险皮肤冠状动脉干预,由皮肤脉动装置提供血液动力支持:一个案例报告
André M Nicolau1, Pedro H M C de Melo1, Lucas Aguiar Alencar de Oliveira1
1Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil.
Arquivos brasileiros de cardiologia
|December 19, 2025
概括
本案例研究介绍了iVAC 2L,这是一个脉动机械循环辅助装置 (MCAD),用于巴西高风险皮肤冠状动脉干预 (PCI). 该设备在复杂的PCI程序中提供了有效的血液动力学支持,证明了其作为一种有价值的治疗选择的潜力.
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:
- 穿皮冠状动脉干预 (PCI) 是一种常见的重血管化技术,但随着解剖学复杂性的增加,程序风险增加.
- 高风险的PCI通常需要血液动力学支持,机械循环辅助装置 (MCAD) 起着至关重要的作用.
研究的目的:
- 报告在巴西首次使用iVAC 2L,一种脉动性MCAD,用于高风险PCI期间的血液动力学支持.
- 评估IVAC 2L在患有复杂冠状动脉疾病的患者的安全性和有效性.
主要方法:
- 一个案例报告详细介绍了在巴西首次使用 iVAC 2L 进行高风险 PCI 的情况.
- 该患者是一名81岁的男性,患有严重的多血管冠状动脉疾病和广泛的化,经历了PCI与iVAC 2L支持.
- 在整个PCI手术过程中,iVAC 2L提供了脉动性血液动力学支持,包括左侧主冠状动脉,左前下垂动脉和环动脉的支架.
主要成果:
- 在 iVAC 2L 支持下,PCI 程序成功完成,无需使用血管活性药物.
- iVAC 2L设备在没有任何血管并发症的情况下被移除.
- 患者很好地忍受了手术,突出了该设备在复杂PCI期间管理血液动力学不稳定的有效性.
结论:
- 脉动性MCAD iVAC 2L是高风险PCI中血液动力学支持的可行选择,提供脉动性流动和易于植入等优势.
- 这一案例证明了iVAC 2L在巴西的成功应用,为接受复杂冠状动脉干预的患者扩大了治疗选择.
- 对于高风险的PCI患者来说,IVAC 2L是现有的支持设备 (如大动脉内气球和Impella) 的有希望的替代品.
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